Forest Grove Medical Pc | |
2804 19th Ave, Forest Grove, OR 97116-2625 | |
(503) 357-2020 | |
(503) 357-6995 |
Full Name | Forest Grove Medical Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 2804 19th Ave, Forest Grove, Oregon |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154691830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Brad C. Richardson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922009836 PECOS PAC ID: 9133396435 Enrollment ID: I20120126000456 |
Mailing Address | Practice Location Address |
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Forest Grove Medical Pc Po Box 38, Forest Grove, OR 97116-0038 Ph: (503) 357-2020 | Forest Grove Medical Pc 2804 19th Ave, Forest Grove, OR 97116-2625 Ph: (503) 357-2020 |
Shannon Seymour, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2202 | |
Dr. Kelvin Kiu Wing So, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-880-1381 | |
Dr. Beth Toshiko Kinoshita, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-3140 Fax: 503-352-2929 | |
Dr. Shannon Cathleen Lutz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2208 | |
Dr. Aldrin Marcus Santamaria, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2020 | |
Jing Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Pacific University Optometry College, Forest Grove, OR 97116 Phone: 925-698-7120 | |
Timothy Allen Speck, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2144 Hawthorne St, Apt 56, Forest Grove, OR 97116 Phone: 217-416-9452 |