| Elisa Ilse-frances Herrman, DMD | |
|
9475 Sw Wilsonville Rd, Wilsonville, OR 97070-7522 | |
| (503) 682-6984 | |
| Not Available |
| Full Name | Elisa Ilse-frances Herrman |
|---|---|
| Gender | Female |
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 9475 Sw Wilsonville Rd, Wilsonville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912599929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D12072 (Oregon) | Primary |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa Ilse-frances Herrman, DMD 2518 Ne 163rd St, Ridgefield, WA 98642-7975 Ph: (269) 605-9408 | Elisa Ilse-frances Herrman, DMD 9475 Sw Wilsonville Rd, Wilsonville, OR 97070-7522 Ph: (503) 682-6984 |
Dr. Rania Anne Khouri, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 Phone: 503-682-4500 | |
Dr. Quinn Walker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 29292 Sw Town Center Loop E Ste A, Wilsonville, OR 97070 Phone: 503-682-0431 Fax: 503-682-3873 | |
Dr. John A Bullock, DMD Dentist Medicare: Medicare Enrolled Practice Location: 29292 Sw Town Center Loop E, Wilsonville, OR 97070 Phone: 503-682-0431 Fax: 503-682-3873 | |
Dr. Joseph William Restic, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9475 Sw Wilsonville Rd, Wilsonville, OR 97070 Phone: 503-682-6984 | |
Thomas Clark, DMD Dentist Medicare: Medicare Enrolled Practice Location: 29292 Sw Town Center Loop E, Wilsonville, OR 97070 Phone: 506-682-0431 Fax: 503-682-3873 | |
Dr. Nelson Antonio Morales, DMD Dentist Medicare: Medicare Enrolled Practice Location: 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 Phone: 503-682-4500 | |
Dr. John Webb, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 29756 Sw Town Center Loop W Ste H, Wilsonville, OR 97070 Phone: 503-682-8027 |