| Dr Karli Whittam, MO | |
|
1000 Se Tech Center Drive, Suite 120, Vancouver, WA 98683 | |
| (360) 260-2773 | |
| (360) 260-2217 |
| Full Name | Dr Karli Whittam |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 1000 Se Tech Center Drive, Vancouver, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639123300 | NPI | - | NPPES |
| 8226359 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MO00035092 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 718 |
| Legacy Salmon Creek Hospital | 0446295711 | 313 |
| Legacy Mount Hood Medical Center | 3173515996 | 55 |
| Legacy Emanuel Hospital And Health Center | 4587573639 | 233 |
| 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 |
| Entity Name | Legacy Good Samaritan Hospital And Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Entity Name | Silverton Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
| Entity Name | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Entity Name | Legacy Mount Hood Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Karli Whittam, MO Po Box 2077, Portland, OR 97208-2077 Ph: (503) 413-3900 | Dr Karli Whittam, MO 1000 Se Tech Center Drive, Suite 120, Vancouver, WA 98683 Ph: (360) 260-2773 |
Andrea Vallejo Carnie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7410 Delaware Ln Uppr Level, Vancouver, WA 98664 Phone: 360-566-4402 | |
David Malekooti, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Ne 139th St Ste 450, Vancouver, WA 98686 Phone: 360-487-4848 | |
Mrs. Sherilyn Marie Foltz Cook, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16500 Se 15th St, Ste 100, Vancouver, WA 98683 Phone: 360-254-4402 Fax: 360-892-9241 | |
Dr. Matthew Howard Rose, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 650 N Devine Rd, Vancouver, WA 98661 Phone: 360-952-4457 Fax: 360-828-7409 | |
Dr. Michele Lynn Sequeira, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-891-6208 Fax: 360-418-6006 | |
Dr. Kevin Deweber, MD, FAMSSM, FAAFP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E. 33rd Street, Family Medicine Of Sw Washington, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7494 | |
Dr. David Paik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 E 33rd St, Suite 100, Vancouver, WA 98663 Phone: 360-514-7550 Fax: 360-514-7553 |