Paul R Ash, MD, PH D | |
19300 Sw 65th Ave, Tualatin, OR 97062-7706 | |
(503) 413-8407 | |
(503) 413-6951 |
Full Name | Paul R Ash |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 19300 Sw 65th Ave, Tualatin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063417392 | NPI | - | NPPES |
004283 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 10051 (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Paul R Ash, MD, PH D Po Box 4399, Portland, OR 97208-4399 Ph: (503) 413-3900 | Paul R Ash, MD, PH D 19300 Sw 65th Ave, Tualatin, OR 97062-7706 Ph: (503) 413-8407 |
Candice Kam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 Phone: 503-413-6166 | |
Michael P Sluss, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19260 Sw 65th Ave, #280, Tualatin, OR 97062 Phone: 503-692-2850 Fax: 503-692-4465 | |
Dr. Kevin Chao Hong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR 97062 Phone: 503-612-1000 | |
Dr. Yara D Nazzal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 Phone: 503-413-6166 | |
Thomas A Phipps, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 19260 Sw 65th Ave, Ste 280, Tualatin, OR 97062 Phone: 503-692-2850 Fax: 503-692-4465 | |
Melissa Brook Mendez, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 |