| Angela Kathryn Bohlke, MD | |
|
1793 13th St Se, Salem, OR 97302-2541 | |
| (503) 362-8385 | |
| (503) 362-8435 |
| Full Name | Angela Kathryn Bohlke |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 19 Years |
| Location | 1793 13th St Se, Salem, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649453390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MD.201620 (Louisiana) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | MD153871 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silver Falls Dermatology Llc | 5890863492 | 84 |
| Silver Falls Dermatology Llc | 5890863492 | 84 |
| Entity Name | Silver Falls Dermatology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20081009000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Kathryn Bohlke, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Angela Kathryn Bohlke, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 |
Thomas V Kruse, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1410 Commercial St Se, Salem, OR 97302 Phone: 503-370-7364 Fax: 503-375-3643 | |
Dr. Russell John Young, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
Michael E Goodenberger, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 | |
Lacey Roybal, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 866-599-3376 | |
Erik Kokkonen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2441 Grear St Ne, Salem, OR 97301 Phone: 503-588-0469 Fax: 503-566-2063 | |
Paarth Dodia, DO Dermatology Medicare: May Accept Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 | |
William Lear, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1793 13th St Se, Salem, OR 97302 Phone: 503-362-8385 Fax: 503-362-8435 |