| Diana L Villanueva, MD | |
|
1355 N 205th St, Shoreline, WA 98133-3215 | |
| (206) 542-5656 | |
| Not Available |
| Full Name | Diana L Villanueva |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1355 N 205th St, Shoreline, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467508515 | NPI | - | NPPES |
| 1467508515 | Medicaid | WA | |
| 0236538 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD00029248 (Washington) | Primary |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Entity Name | Salem Health Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285774257 PECOS PAC ID: 5294094769 Enrollment ID: O20180109003027 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana L Villanueva, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 543-6420 | Diana L Villanueva, MD 1355 N 205th St, Shoreline, WA 98133-3215 Ph: (206) 542-5656 |
Anna Rose Shope, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1355 N 205th St, Box 356460, Shoreline, WA 98133 Phone: 206-542-5656 | |
Dorcas A Mclennan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1201 N 175th St, Shoreline, WA 98133 Phone: 206-401-3165 Fax: 206-401-3201 | |
Mai Tran, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1355 N 205th St, Shoreline, WA 98133 Phone: 206-520-5000 |