Bradley Jansen, OD | |
322 W North River Dr, Spokane, WA 99201-3208 | |
(509) 324-6464 | |
Not Available |
Full Name | Bradley Jansen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 7 Years |
Location | 322 W North River Dr, Spokane, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376998310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4394ATI (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
Provider Name | Kaiser Foundation Health Plan Of Washington |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
Mailing Address | Practice Location Address |
---|---|
Bradley Jansen, OD 322 W North River Dr, Spokane, WA 99201-3208 Ph: (509) 324-6464 | Bradley Jansen, OD 322 W North River Dr, Spokane, WA 99201-3208 Ph: (509) 324-6464 |
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