William R Shawler, MD | |
24800 Se Stark St, Gresham, OR 97030-3378 | |
(503) 674-1400 | |
Not Available |
Full Name | William R Shawler |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 24800 Se Stark St, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821018060 | NPI | - | NPPES |
024125 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD10285 (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 |
---|---|
William R Shawler, MD 6312 Sw Capitol Hwy # 502, Portland, OR 97239-1938 Ph: (503) 464-9034 | William R Shawler, MD 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1400 |
Karen Jeanne O'neill, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Dr. Kelly Leaf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Emergency Department, Gresham, OR 97030 Phone: 503-674-1122 | |
Nigel M Longland, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Fredrick R Bradshaw, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Daniel R Berger, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1122 | |
Crystal Weis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1122 | |
Anthony A Ferroggiaro, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-666-5050 |