| Ridgefield Family Medicine, Pllc | |
|
8507 South 5th Street Suite 113 Ridgefield WA 98642 | |
| (360) 887-9494 | |
| (360) 887-9498 |
| Full Name | Ridgefield Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8507 South 5th Street, Ridgefield, Washington |
| Authorized Official Name and Position | Sharon Ann Houghton (CLINIC MANAGER) |
| Authorized Official Contact | 3608879494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgefield Family Medicine, Pllc Po Box 8904 Vancouver WA 98668-8904 Ph: (360) 887-9494 | Ridgefield Family Medicine, Pllc 8507 South 5th Street Suite 113 Ridgefield WA 98642 Ph: (360) 887-9494 |
| NPI Number | 1245338227 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 12/17/2012 |
| Medicare PECOS PAC ID | 4981639473 |
|---|---|
| Medicare Enrollment ID | O20130222000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245338227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Josephine E Drew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881636629 PECOS PAC ID: 7012974009 Enrollment ID: I20051006000624 |
| Provider Name | Linina M Zocchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073500260 PECOS PAC ID: 3870586563 Enrollment ID: I20051024000223 |
| Provider Name | Cherisa Sandrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568664944 PECOS PAC ID: 8123192739 Enrollment ID: I20080730000793 |
| Provider Name | Christina N Bergstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588811467 PECOS PAC ID: 3476608688 Enrollment ID: I20090910000678 |
| Provider Name | Mary A Nametka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104835297 PECOS PAC ID: 2567557382 Enrollment ID: I20120313000472 |
| Provider Name | Arthur Louis Clemente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467436139 PECOS PAC ID: 6901867860 Enrollment ID: I20190318000864 |
Ridgefield Family Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8507 S 5th St, Suite 113, Ridgefield, WA 98642 Phone: 360-887-9494 Fax: 360-887-9498 |