| Dana G Eustis, MD | |
|
24800 Se Stark St, Gresham, OR 97030-3378 | |
| (503) 491-9444 | |
| Not Available |
| Full Name | Dana G Eustis |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 24800 Se Stark St, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235517376 | NPI | - | NPPES |
| 500782792 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD199560 (Oregon) | Primary |
| Entity Name | Womens Healthcare Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346296142 PECOS PAC ID: 8527054014 Enrollment ID: O20040421000823 |
| Entity Name | Obhg Washington Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962729525 PECOS PAC ID: 0345364642 Enrollment ID: O20100823001087 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana G Eustis, MD 7650 Sw Beveland Rd Ste 200, Portland, OR 97223-8692 Ph: (503) 601-3615 | Dana G Eustis, MD 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 491-9444 |
Dr. Daniel Marvin Patchin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4215 Se Regner Rd, Gresham, OR 97080 Phone: 503-665-8500 | |
Dr. Kelly Annette Carter, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030 Phone: 503-661-0464 Fax: 503-661-1420 | |
Renee Nicole Goodreau, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1750 | |
Audra Rachelle Norris-jacob, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 24850 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-9444 | |
Sandra Ann Collis, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030 Phone: 503-491-9444 Fax: 503-661-1420 | |
Michelle Cecile Champagne, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 24850 Se Stark St, Suite 200, Gresham, OR 97030 Phone: 503-491-9444 Fax: 503-661-1420 |