Richard Wayne Craft Sr, MD | |
24900 Se Stark St Ste 202, Gresham, OR 97030-3382 | |
(503) 465-8887 | |
(503) 465-8808 |
Full Name | Richard Wayne Craft Sr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 24900 Se Stark St Ste 202, Gresham, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104844661 | NPI | - | NPPES |
044453 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD16231 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Adventist Health Portland | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Vancouver Clinic Inc Ps | 3173436490 | 471 |
Entity Name | The Vancouver Clinic Inc Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20040127001069 |
Entity Name | Cascade Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982672184 PECOS PAC ID: 0446148076 Enrollment ID: O20040305001042 |
Mailing Address | Practice Location Address |
---|---|
Richard Wayne Craft Sr, MD 24900 Se Stark St, Ste 202, Gresham, OR 97030 Ph: (503) 465-8887 | Richard Wayne Craft Sr, MD 24900 Se Stark St Ste 202, Gresham, OR 97030-3382 Ph: (503) 465-8887 |
Kathrin Rose Meyers, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Kathryn L Huyssoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709 | |
Dr. Brittany Nicole Kishel, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Amy Katherine Chaumeton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Aura Theresa Bondoc De Olazo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Dr. Brittney B Mensen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178 |