Dr Eve Koltuv, MD | |
710 Sunset Dr Ste E, La Grande, OR 97850-1200 | |
(541) 663-3150 | |
(541) 975-5111 |
Full Name | Dr Eve Koltuv |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 710 Sunset Dr Ste E, La Grande, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043631708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 276540 (New York) | Secondary |
208000000X | Pediatrics | MD186875 (Oregon) | Primary |
Entity Name | Grande Ronde Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
Mailing Address | Practice Location Address |
---|---|
Dr Eve Koltuv, MD Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 963-1967 | Dr Eve Koltuv, MD 710 Sunset Dr Ste E, La Grande, OR 97850-1200 Ph: (541) 663-3150 |
Aaron Wells Grigg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3159 | |
Michael A Hetrick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 Fax: 541-975-5111 | |
Melindres J Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 Fax: 541-975-5111 | |
Sarah J Rollin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 | |
Dr. Kevin David Grayson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3150 Fax: 541-975-5111 |