| David A White, MD | |
|
24988 Se Stark St Ste 220, Gresham, OR 97030-8324 | |
| (503) 674-1580 | |
| Not Available |
| Full Name | David A White |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 24988 Se Stark St Ste 220, 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 |
|---|---|---|---|
| 1194769513 | NPI | - | NPPES |
| 200442000 | Medicaid | IN | |
| 200606660A | Medicaid | KS | |
| 100037900A | Medicaid | OK | |
| 000000287113 | Other | IN | ANTHEM PROVIDER # |
| 100180890G | Medicaid | IN | |
| CH6490 | Other | IN | GROUP IN RAILROAD MCR# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD218730 (Oregon) | Primary |
| 207R00000X | Internal Medicine | 19950 (Oklahoma) | Secondary |
| Entity Name | Claremore Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073527842 PECOS PAC ID: 9436069911 Enrollment ID: O20031210001104 |
| Mailing Address | Practice Location Address |
|---|---|
| David A White, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (580) 233-2300 | David A White, MD 24988 Se Stark St Ste 220, Gresham, OR 97030-8324 Ph: (503) 674-1580 |
Kathrin Rose Meyers, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Kathryn L Huyssoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709 | |
Dr. Brittany Nicole Kishel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Amy Katherine Chaumeton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Aura Theresa Bondoc De Olazo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Dr. Brittney B Mensen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178 | |
Jennifer Rodriguez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St, Gresham, OR 97030 Phone: 503-674-1848 |