| Dr Jack Vining, MD | |
|
2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | |
| (503) 472-6131 | |
| Not Available |
| Full Name | Dr Jack Vining |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 2700 Se Stratus Ave, Mcminnville, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922041920 | NPI | - | NPPES |
| 8378382 | Medicaid | WA | |
| JM9451 | Other | PACC | |
| 97128A002 | Other | CHAMPUS | |
| D86802 | Other | PROVIDENCE | |
| 0190386 | Other | WA L & I | |
| 261156 | Medicaid | OR | |
| D86802 | Other | GROUP HEALTH | |
| XPY185640 | Medicaid | CA | |
| P00333023 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD12819 (Oregon) | Primary |
| 207R00000X | Internal Medicine | MD12819 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Vining, MD Po Box 2065, Seattle, WA 98111-2065 Ph: (888) 828-3195 | Dr Jack Vining, MD 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 Ph: (503) 472-6131 |
Dr. Mark Rose, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Helge R Berg, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Paul Daniel Dale, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 207 Ne 19th St, Mcminnville, OR 97128 Phone: 503-435-1077 | |
Dr. Ricardo Carlon, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Francisco Arroyo, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 | |
Dr. Thomas Cronin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-435-3551 | |
Dr. Janet Paquette, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2700 Se Stratus Ave, Mcminnville, OR 97128 Phone: 503-472-6131 |