| Dr Kenneth Leif Nathaniel Sjoren, DO | |
|
840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 | |
| (541) 881-2800 | |
| (541) 881-2825 |
| Full Name | Dr Kenneth Leif Nathaniel Sjoren |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 8 Years |
| Location | 840 Sw 4th Ave Ste 105, Ontario, 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 |
|---|---|---|---|
| 1093208134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | DO219324 (Oregon) | Primary |
| 207V00000X | Obstetrics & Gynecology | O-1672 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Family Health Care Inc | 0547169591 | 42 |
| Valley Family Health Care Inc | 0547169591 | 42 |
| Entity Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
| Entity Name | Catalyst Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912458787 PECOS PAC ID: 2365722105 Enrollment ID: O20161213001006 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Leif Nathaniel Sjoren, DO 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Dr Kenneth Leif Nathaniel Sjoren, DO 840 Sw 4th Ave Ste 105, Ontario, OR 97914-2638 Ph: (541) 881-2800 |
Dr. James T Roth, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1219 Sw 4th Ave Unit 2, Ontario, OR 97914 Phone: 801-261-3975 Fax: 801-262-9142 | |
Robert A Mairs, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914 Phone: 541-881-2325 Fax: 208-914-6701 | |
Furm M Duncan Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Suite 2, Ontario, OR 97914 Phone: 541-889-2229 Fax: 541-889-4378 | |
Brandye Wilson-manigat, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 351 Sw 9th St, Ontario, OR 97914 Phone: 541-881-7184 Fax: 541-881-7016 | |
William Barrett Stinger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 840 Sw 4th Ave, Ontario, OR 97914 Phone: 541-881-2800 Fax: 541-881-2825 |