Robert Park, MD | |
2265 Exchange St, Astoria, OR 97103-3331 | |
(503) 338-7595 | |
(503) 325-4905 |
Full Name | Robert Park |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 2265 Exchange St, Astoria, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083617633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | MD26448 (Oregon) | Primary |
Entity Name | Columbia Lutheran Charities |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028 |
Entity Name | Mid-valley Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
Entity Name | Columbia Lutheran Charities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073 |
Entity Name | Salem Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Entity Name | Mid-valley Healthcare Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20061104000140 |
Mailing Address | Practice Location Address |
---|---|
Robert Park, MD 2111 Exchange St, Astoria, OR 97103-3329 Ph: (503) 325-4321 | Robert Park, MD 2265 Exchange St, Astoria, OR 97103-3331 Ph: (503) 338-7595 |
Kwang-san Liu, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 550 22nd St, Astoria, OR 97103 Phone: 503-338-7595 | |
Dr. Sarah H Humphrey, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 | |
Kellie Wilson Edwards, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 | |
Kimberly Sue Eltzroth, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 441 30th St, Astoria, OR 97103 Phone: 503-325-7800 Fax: 557-077-5848 | |
Fatima Abdulai Van Dusen, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2200 Exchange St, Astoria, OR 97103 Phone: 503-741-1199 Fax: 503-457-5400 | |
Rebecca Joann Josephson, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2265 Exchange St, Astoria, OR 97103 Phone: 503-338-7595 Fax: 503-325-4905 |