| Dr Christopher Mathias Gunawan, MD | |
|
1400 Pottery Ave, Port Orchard, WA 98366-3711 | |
| (360) 895-5000 | |
| (877) 516-9023 |
| Full Name | Dr Christopher Mathias Gunawan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1400 Pottery Ave, Port Orchard, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104355049 | NPI | - | NPPES |
| VAD000 | Other | MEDICARE UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A157790 (California) | Secondary |
| 208000000X | Pediatrics | MD61537259 (Washington) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Mathias Gunawan, MD 1400 Pottery Ave, Port Orchard, WA 98366-3768 Ph: (360) 895-5000 | Dr Christopher Mathias Gunawan, MD 1400 Pottery Ave, Port Orchard, WA 98366-3711 Ph: (360) 895-5000 |
Dr. Gregory Howard Cain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Dr. Brian Joey Que, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000 | |
Catherine Cogley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd Ste 230, Port Orchard, WA 98366 Phone: 360-895-0216 Fax: 360-895-7919 | |
Clement Phuong Nguyen Le Thanh, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 320 S Kitsap Blvd, Port Orchard, WA 98366 Phone: 360-876-7215 | |
Mrs. Tasia Nicole Hulst, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd Ste 250, Port Orchard, WA 98366 Phone: 360-782-3000 Fax: 360-782-3040 | |
Pninit Varol, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270 |