Benjamin Ashby Goodrum, CNM, FNP | |
530 Nw 27th St, Corvallis, OR 97330-5223 | |
(541) 766-6835 | |
(541) 766-6186 |
Full Name | Benjamin Ashby Goodrum |
---|---|
Gender | Male |
Speciality | Advanced Practice Midwife |
Location | 530 Nw 27th St, Corvallis, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861893414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201406326NP-PP (Oregon) | Secondary |
367A00000X | Advanced Practice Midwife | F002184-01 (New York) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Ashby Goodrum, CNM, FNP 274 Bridge St, Northampton, MA 01060-2411 Ph: (773) 915-3674 | Benjamin Ashby Goodrum, CNM, FNP 530 Nw 27th St, Corvallis, OR 97330-5223 Ph: (541) 766-6835 |
Dr. Susan J. Wegelt Heinz, CNM, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2314 Nw Kings Blvd, Ste A, Corvallis, OR 97330 Phone: 541-286-4030 Fax: 541-286-4158 | |
Miss Alexis Rose Paul, CNM, WHNP-BC Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2314 Nw Kings Blvd, Corvallis, OR 97330 Phone: 541-286-4030 | |
Nicolette Rose Noe, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2314 Nw Kings Blvd Ste A, Corvallis, OR 97330 Phone: 541-286-4030 | |
Angela Dean Chisholm, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3640 Nw Samaritan Dr Ste 220, Corvallis, OR 97330 Phone: 541-768-5300 | |
Melissa Hilson, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2314 Nw Kings Blvd Ste A, Corvallis, OR 97330 Phone: 541-286-4030 Fax: 541-286-4158 | |
Peggy Lisa Mccullum, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3640 Nw Samaritan Dr Ste 220, Corvallis, OR 97330 Phone: 541-768-5300 | |
Katherine Lindsey Bowen, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3640 Nw Samaritan Dr Ste 220, Corvallis, OR 97330 Phone: 541-768-5300 |