Ms Marisa Osorio Gholson, | |
210 Se 136th Ave, Vancouver, WA 98684-6930 | |
(360) 944-9889 | |
Not Available |
Full Name | Ms Marisa Osorio Gholson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 8 Years |
Location | 210 Se 136th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194103176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA179365 (Oregon) | Secondary |
363A00000X | Physician Assistant | PA60734980 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Cancer Specialists Pc | 8426943838 | 53 |
Mailing Address | Practice Location Address |
---|---|
Ms Marisa Osorio Gholson, 1498 Se Tech Center Pl Ste 240, Vancouver, WA 98683-5508 Ph: (512) 649-9095 | Ms Marisa Osorio Gholson, 210 Se 136th Ave, Vancouver, WA 98684-6930 Ph: (360) 944-9889 |
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