| Dr Grace X Tan, MD | |
|
1200 Hilyard St Ste 620, Eugene, OR 97401-8157 | |
| (458) 205-6500 | |
| (458) 205-6453 |
| Full Name | Dr Grace X Tan |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology - Pediatric Otolaryngology |
| Location | 1200 Hilyard St Ste 620, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619389020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | MD201443 (Oregon) | Primary |
| Entity Name | University Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grace X Tan, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8510 | Dr Grace X Tan, MD 1200 Hilyard St Ste 620, Eugene, OR 97401-8157 Ph: (458) 205-6500 |
Prashant P Vivek, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way, Suite 300, Eugene, OR 97401 Phone: 541-334-3370 Fax: 541-334-3372 | |
Kenneth Hugh Mccarley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St Ste 620, Eugene, OR 97401 Phone: 458-205-6500 Fax: 458-205-6453 | |
William David Tom, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way, Suite 300, Eugene, OR 97401 Phone: 541-334-3370 Fax: 541-334-3372 | |
Susan L Urben, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 330 S Garden Way, Ste 300, Eugene, OR 97401 Phone: 541-334-3370 Fax: 541-334-3372 | |
Nathan P Christensen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St, Suite 620, Eugene, OR 97401 Phone: 458-205-6500 |