| Columbia Gorge Family Medicine | |
|
1750 12th St Hood River OR 97031-1513 | |
| (541) 386-5070 | |
| (541) 386-7190 |
| Full Name | Columbia Gorge Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1750 12th St, Hood River, Oregon |
| Authorized Official Name and Position | Tyler Gray (MANAGING PARTNER) |
| Authorized Official Contact | 5413865070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Gorge Family Medicine 1750 12th St Hood River OR 97031-1513 Ph: (541) 386-5070 | Columbia Gorge Family Medicine 1750 12th St Hood River OR 97031-1513 Ph: (541) 386-5070 |
| NPI Number | 1558346064 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 02/16/2016 |
| Medicare PECOS PAC ID | 8628066115 |
|---|---|
| Medicare Enrollment ID | O20040504000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558346064 | NPI | - | NPPES |
| 7002678 | Medicaid | WA | |
| 176180 | Medicaid | OR | |
| 198383 | Other | UNITED HEALTHCARE | |
| 8901302 | Other | WA | DEPT OF LABOR AND INDUSTR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ingrid A Flanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649272550 PECOS PAC ID: 1759354699 Enrollment ID: I20040818000426 |
| Provider Name | Stephanie Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720060353 PECOS PAC ID: 5496717894 Enrollment ID: I20050228000718 |
| Provider Name | Elizabeth M Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194786079 PECOS PAC ID: 1355414277 Enrollment ID: I20080724000630 |
| Provider Name | Megan J Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265666549 PECOS PAC ID: 6901934181 Enrollment ID: I20100507000793 |
| Provider Name | Anthony S Gay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912982422 PECOS PAC ID: 9234324062 Enrollment ID: I20101105001240 |
| Provider Name | Stephen G Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194700609 PECOS PAC ID: 8224223052 Enrollment ID: I20101105001251 |
| Provider Name | Sarah Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942551353 PECOS PAC ID: 1456505585 Enrollment ID: I20130125000190 |
| Provider Name | Tyler T Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699901363 PECOS PAC ID: 5991941866 Enrollment ID: I20130419000116 |
| Provider Name | Charles N Buser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366736373 PECOS PAC ID: 8426299744 Enrollment ID: I20140321000289 |
| Provider Name | Alyssa M Sponhauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821432923 PECOS PAC ID: 9234352683 Enrollment ID: I20140603002183 |
| Provider Name | Allison C Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467712950 PECOS PAC ID: 7911148291 Enrollment ID: I20141125000622 |
| Provider Name | Peter Ward Benziger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811332786 PECOS PAC ID: 6204126832 Enrollment ID: I20160609001345 |
| Provider Name | Jessica Andrea Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336313782 PECOS PAC ID: 9931409893 Enrollment ID: I20160727001749 |
| Provider Name | Matthew B Sperry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275944183 PECOS PAC ID: 6305061680 Enrollment ID: I20170629001449 |
| Provider Name | Richard John Friday |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093215287 PECOS PAC ID: 0648529792 Enrollment ID: I20180822001854 |
| Provider Name | Monica J Gulley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447547807 PECOS PAC ID: 4688984669 Enrollment ID: I20181011000881 |
| Provider Name | Mollie Reiko Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083124697 PECOS PAC ID: 4183963549 Enrollment ID: I20190228002452 |
Hood River Integrative Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 May St, Hood River, OR 97031 Phone: 541-645-0391 | |
Providence Hood River Memorial Hospital - Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1108 June St, Hood River, OR 97031 Phone: 541-387-6125 | |
One Community Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 849 Pacific Ave, Hood River, OR 97031 Phone: 541-386-6380 | |
Providence Heart Clinic Hood River Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 917 11th St, Suite 200, Hood River, OR 97031 Phone: 541-387-8945 | |
Healthy Connections Hood River Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Nichols Pkwy # 300, Hood River, OR 97031 Phone: 541-716-5786 Fax: 541-716-4688 | |
Asula Chiropractic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 4th St, Hood River, OR 97031 Phone: 541-400-0266 Fax: 800-796-7703 | |
Elite Medical Services Pnw Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1216 13th St, Hood River, OR 97031 Phone: 541-357-7750 |