| Dallas Renae Holladay, | |
|
1046 6th Ave Sw, Albany, OR 97321-1916 | |
| (541) 812-4000 | |
| Not Available |
| Full Name | Dallas Renae Holladay |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 1046 6th Ave Sw, Albany, 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 |
|---|---|---|---|
| 1871834382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO195999 (Oregon) | Primary |
| 207P00000X | Emergency Medicine | 036139497 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Seaside Hospital | Seaside, OR | Hospital |
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 1557260106 | 88 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Northwest Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20050506000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Renae Holladay, Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dallas Renae Holladay, 1046 6th Ave Sw, Albany, OR 97321-1916 Ph: (541) 812-4000 |
Alexander Ells, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Thomas Vanasche, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 Geary St Se, Albany, OR 97322 Phone: 541-812-5500 | |
Nathan Alan Garton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Mr. Blaine B. Rourke, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Evita Lopez, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Dr. Alex Jordan Pittman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Megan Dell, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 |