Michael P Jaczko, DO | |
1000 N Providence Dr Ste 210, Newberg, OR 97132-7582 | |
(503) 537-5900 | |
Not Available |
Full Name | Michael P Jaczko |
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Gender | Male |
Speciality | Family Medicine |
Location | 1000 N Providence Dr Ste 210, Newberg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487647954 | NPI | - | NPPES |
151081 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | DO20026 (Oregon) | Primary |
Entity Name | Legacy Meridian Park Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Mailing Address | Practice Location Address |
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Michael P Jaczko, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Michael P Jaczko, DO 1000 N Providence Dr Ste 210, Newberg, OR 97132-7582 Ph: (503) 537-5900 |
Dr. John L Cummings, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 506 Villa Rd, Newberg, OR 97132 Phone: 503-538-4544 Fax: 503-538-9257 | |
Jaecelle Guadiz Galeniece, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 110, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5959 | |
Chelsea Deselms, APRN, FNP-C, CFMP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 617 N. Main St., Newberg, OR 97132 Phone: 503-476-1431 Fax: 855-247-1666 | |
Jeremy S. Swindle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 N Providence Dr Ste 210, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5900 | |
Dr. Spencer James Chun, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2880 Hayes St., Newberg Urgent Care, Newberg, OR 97132 Phone: 503-537-9600 Fax: 503-537-0105 | |
Dr. Robert Jerome Mcqueen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2880 Hayes St, Newberg, OR 97132 Phone: 503-537-9600 Fax: 503-537-0105 | |
Dr. William Merrill Bailey, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 308 Villa Road Ste 114, Newberg, OR 97132 Phone: 503-538-9431 Fax: 503-538-2358 |