| Dr Jim Alan Gosewehr, MD | |
|
12123 Sw 69th Ave, Tigard, OR 97223-8514 | |
| (971) 708-7600 | |
| (971) 371-5230 |
| Full Name | Dr Jim Alan Gosewehr |
|---|---|
| Gender | Male |
| Speciality | Gynecological Oncology |
| Experience | 42 Years |
| Location | 12123 Sw 69th Ave, Tigard, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629071592 | NPI | - | NPPES |
| 074919 | Medicaid | OR | |
| 1014914 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | MD19412 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Cancer Specialists Pc | 8426943838 | 65 |
| Northwest Cancer Specialists Pc | 8426943838 | 65 |
| Entity Name | Northwest Cancer Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407828114 PECOS PAC ID: 8426943838 Enrollment ID: O20040216000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jim Alan Gosewehr, MD 1498 Se Tech Center Pl Ste 240, Vancouver, WA 98683-5508 Ph: () - | Dr Jim Alan Gosewehr, MD 12123 Sw 69th Ave, Tigard, OR 97223-8514 Ph: (971) 708-7600 |
Dr. William Edward Winter Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 971-708-7600 Fax: 971-371-5230 | |
Kimberly Sue Williams, FNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0700 Fax: 503-216-0750 | |
Dr. Hannah Dysinger Mclaughlin, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 971-708-7600 Fax: 971-371-5230 | |
Christina Vieru, PA-C Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12123 Sw 69th Ave, Tigard, OR 97223 Phone: 971-708-7600 Fax: 971-371-5230 |