Margot R Bolstad, DO | |
65371 Wa-14, White Salmon, WA 98672-9867 | |
(509) 493-2133 | |
(509) 493-9544 |
Full Name | Margot R Bolstad |
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Gender | Female |
Speciality | Family Medicine |
Location | 65371 Wa-14, White Salmon, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124082458 | NPI | - | NPPES |
125286 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | DO14331 (Oregon) | Secondary |
207Q00000X | Family Medicine | OP60910561 (Washington) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Margot R Bolstad, DO 1620 E 12th St, Po Box 1520, The Dalles, OR 97058-3213 Ph: (541) 296-9151 | Margot R Bolstad, DO 65371 Wa-14, White Salmon, WA 98672-9867 Ph: (509) 493-2133 |
Christopher Faison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Ne Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9543 | |
Dr. Troy R Witherrite, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
Dr. Chardonnay Vance, MD PHD Family Medicine Medicare: Medicare Enrolled Practice Location: 181 W Jewett Blvd, White Salmon, WA 98672 Phone: 509-289-2119 | |
Dr. Raymond John Fitzsimmons, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
Dr. James Garfield Janney Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 | |
Liette C Witherrite, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Ne Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 | |
Dr. Gregory Dean Zuck, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 Skyline Dr, White Salmon, WA 98672 Phone: 509-493-2133 Fax: 509-493-9538 |