Mojgan Amani, | |
12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | |
(800) 813-2000 | |
Not Available |
Full Name | Mojgan Amani |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Sleep Medicine |
Location | 12607 Se Mill Plain Blvd, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144508755 | NPI | - | NPPES |
500712215 | Medicaid | OR | |
2046055 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 6466 (Nebraska) | Secondary |
2084S0012X | Psychiatry & Neurology - Sleep Medicine | MD60544527 (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: O20040220000099 |
Mailing Address | Practice Location Address |
---|---|
Mojgan Amani, Po Box 32, Liberty Lake, WA 99019-0032 Ph: (509) 525-3320 | Mojgan Amani, 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 Ph: (800) 813-2000 |
Natalia Luna, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14508 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-397-9211 | |
Karen Chu, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2415 Ne 134th St, Vancouver, WA 98686 Phone: 360-882-2778 | |
Valentin Y Avramov, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-993-3000 Fax: 360-993-3047 | |
Pippa Macdonald, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Se 172nd Ave Ste 220, Vancouver, WA 98684 Phone: 360-882-2778 | |
Dr. Michael Dennis Domash, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2215 Broadway St, Vancouver, WA 98663 Phone: 360-906-7156 Fax: 360-696-3658 | |
Anca Balasu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2415 Ne 134th St Ste 301, Vancouver, WA 98686 Phone: 360-882-2778 | |
Duncan Borland, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Ste. 460, Vancouver, WA 98664 Phone: 360-256-8865 Fax: 360-256-7127 |