| Dr Ellen Kyte Mayock, MD | |
|
18010 Mcewan Rd, Lake Oswego, OR 97035-7868 | |
| (503) 525-7500 | |
| (503) 525-7501 |
| Full Name | Dr Ellen Kyte Mayock |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 18010 Mcewan Rd, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619930237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD19822 (Oregon) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellen Kyte Mayock, MD 18010 Mcewan Rd, Lake Oswego, OR 97035-7868 Ph: (503) 525-7500 | Dr Ellen Kyte Mayock, MD 18010 Mcewan Rd, Lake Oswego, OR 97035-7868 Ph: (503) 525-7500 |
Dr. Kenneth Paul Melvin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 112, Lake Oswego, OR 97035 Phone: 503-203-1177 Fax: 503-203-1178 | |
Colleen Amanda Finnegan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500 | |
Dr. Paula Diane Kilpatrick, Internal Medicine Medicare: Medicare Enrolled Practice Location: 4035 Sw Mercantile Drive, Suite 101, Lake Oswego, OR 97035 Phone: 503-697-3001 Fax: 503-697-0906 | |
Dr. Nancy J Heisel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18010 Sw Mcewan Rd, Lake Oswego, OR 97035 Phone: 503-525-7500 | |
Steven Anthony Hashiguchi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 16463 Sw Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-635-6256 Fax: 503-636-9604 | |
Dr. Jeffrey Turner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 A Ave Ste 200, Lake Oswego, OR 97034 Phone: 503-635-2496 | |
Dr. Daryl William Baron, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 16463 Sw Boones Ferry Rd, Lake Oswego, OR 97035 Phone: 503-635-6256 Fax: 503-636-9604 |