Ron L Porter, OT | |
1100 9th Ave, Seattle, WA 98101-2756 | |
(206) 223-6600 | |
Not Available |
Full Name | Ron L Porter |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1100 9th Ave, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952454639 | NPI | - | NPPES |
US7329675 | Other | WA | AETNA SPECIALIST PIN |
2944PO | Other | WA | BLUE SHIELD # |
0039584 | Other | WA | LABOR AND INDUSTRIES# |
8428575 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT00002084 (Washington) | Primary |
Provider Name | Bhsm Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497271431 PECOS PAC ID: 2062773138 Enrollment ID: O20180306002185 |
Mailing Address | Practice Location Address |
---|---|
Ron L Porter, OT 1100 Olive Way Msc M4-pa, Seattle, WA 98101-1873 Ph: (206) 515-5811 | Ron L Porter, OT 1100 9th Ave, Seattle, WA 98101-2756 Ph: (206) 223-6600 |
Jaclyn Ann Subkoviak, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 9th Ave, Seattle, WA 98101 Phone: 206-341-0461 Fax: 206-515-5886 | |
Tamira Bass, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Seneca St, Seattle, WA 98104 Phone: 206-540-3705 | |
Ms. Mary Patricia Dodge, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1959 Ne Pacific St, Mailbox 356490, Seattle, WA 98195 Phone: 206-598-4830 | |
Demetrios Terezakis, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-744-6112 | |
Lisbeth Brucknr Lord, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3010 Ne 113th St, Seattle, WA 98125 Phone: 206-498-2532 | |
Elizabeth A. Reite, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4010 Stone Way N, 300, Seattle, WA 98103 Phone: 206-949-9692 | |
Mr. David Emery Hall, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1660 S Columbian Way, Seattle, WA 98108 Phone: 206-277-1593 Fax: 206-768-5271 |