Richard T Kubiniec, MD | |
14508 Ne 20th Ave Ste 300, Vancouver, WA 98686-6418 | |
(360) 892-0208 | |
(360) 892-9081 |
Full Name | Richard T Kubiniec |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 14508 Ne 20th Ave Ste 300, 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 |
---|---|---|---|
1053372623 | NPI | - | NPPES |
227404 | Medicaid | OR | |
2074270 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD23474 (Oregon) | Secondary |
207V00000X | Obstetrics & Gynecology | MD00034433 (Washington) | Primary |
Entity Name | Sea-mar Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
Mailing Address | Practice Location Address |
---|---|
Richard T Kubiniec, MD Po Box 34703, Seattle, WA 98124-1703 Ph: () - | Richard T Kubiniec, MD 14508 Ne 20th Ave Ste 300, Vancouver, WA 98686-6418 Ph: (360) 892-0208 |
Michelle Hocking De Geest, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-4244 Fax: 360-571-4246 | |
Anna Kerlin Bell-hibbs, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 270, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1672 | |
Dr. Jennifer Catherine O'connor, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2101 Ne 139th St, Ste 350, Vancouver, WA 98686 Phone: 360-256-4060 Fax: 360-256-0103 | |
Dr. Lissa C Daimaru-enoki, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-4244 Fax: 360-571-4246 | |
Jonathan Erich, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Legacy Salmon Creek Hospital - Family Birth Center, 2211 N.e. 139th Street, Vancouver, WA 98686 Phone: 360-487-4295 | |
Michelle Eston Gruner, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 855-285-4246 Fax: 360-571-4246 |