| Dr Kathleen Alison Dunham, MD | |
|
12123 Sw 69th Ave, Tigard, OR 97223-8514 | |
| (971) 708-7600 | |
| (971) 371-5230 |
| Full Name | Dr Kathleen Alison Dunham |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 12123 Sw 69th Ave, Tigard, Oregon |
| 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 |
|---|---|---|---|
| 1194040139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | MD173822 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, 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: O20040217000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathleen Alison Dunham, MD 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 Ph: (360) 597-1300 | Dr Kathleen Alison Dunham, MD 12123 Sw 69th Ave, Tigard, OR 97223-8514 Ph: (971) 708-7600 |
Dr. Jason Christopher Gilster, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7421 Sw Bridgeport Rd Ste 215, Tigard, OR 97224 Phone: 971-297-3007 Fax: 503-598-7765 | |
Burkley Snow, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 | |
Andre D Grisham, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-221-0161 |