| Case H Ketting, MD | |
|
1713 Sw 24th St, Pendleton, OR 97801-4330 | |
| (541) 304-2264 | |
| (541) 304-2275 |
| Full Name | Case H Ketting |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 1713 Sw 24th St, Pendleton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033193297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD220214 (Oregon) | Primary |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Coastal Radiation Oncology Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922038173 PECOS PAC ID: 7214946201 Enrollment ID: O20060501000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Case H Ketting, MD Po Box 35145, Seattle, WA 98124-5145 Ph: () - | Case H Ketting, MD 1713 Sw 24th St, Pendleton, OR 97801-4330 Ph: (541) 304-2264 |
Jacob W Cambier, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate, Suite 7, Pendleton, OR 97801 Phone: 541-276-2431 Fax: 541-276-1947 | |
Dr. Frank A Erickson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 109 Ne Ellis Ave, Pendleton, OR 97801 Phone: 541-278-9554 Fax: 541-278-9549 | |
Roger P Blair, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Southgate, Suite 7, Pendleton, OR 97801 Phone: 541-276-2431 Fax: 541-276-1947 | |
Joshua Garren, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1713 Sw 24th St, Pendleton, OR 97801 Phone: 541-304-2264 Fax: 541-304-2275 |