William S Boylston, MD | |
2163 Nw 2nd St, Mcminnville, OR 97128-9108 | |
(503) 472-4197 | |
(503) 434-2886 |
Full Name | William S Boylston |
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Gender | Male |
Speciality | Family Medicine |
Location | 2163 Nw 2nd St, Mcminnville, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700172962 | NPI | - | NPPES |
500709064 | Medicaid | OR | |
MD9652 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6091 (Alaska) | Secondary |
207Q00000X | Family Medicine | MD176335 (Oregon) | Primary |
Entity Name | Bristol Bay Area Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
Mailing Address | Practice Location Address |
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William S Boylston, MD 2163 Nw 2nd St, Mcminnville, OR 97128-9108 Ph: (503) 472-4197 | William S Boylston, MD 2163 Nw 2nd St, Mcminnville, OR 97128-9108 Ph: (503) 472-4197 |
Jan Radzik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 349 Se Baker St, Mcminnville, OR 97128 Phone: 503-472-9438 Fax: 503-472-9439 | |
Dr. Jennifer Elaine Mueller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 | |
Dr. Klaus Martin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 310 Southeast Baker Street, Mcminnville, OR 97128 Phone: 503-472-8433 Fax: 503-472-8679 | |
John D Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 821 Ne Highway 99w Ste A, Mcminnville, OR 97128 Phone: 503-472-4649 Fax: 503-434-1679 | |
Marion C Hull, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-883-4700 Fax: 503-883-4764 | |
Brandi Acacia Mendonca, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2163 Nw 2nd St, Mcminnville, OR 97128 Phone: 503-472-4197 Fax: 503-434-2886 | |
Sunisa Chanyaputhipong, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Ne May Ln, Mcminnville, OR 97128 Phone: 503-472-1338 Fax: 503-434-8597 |