| Dr Lauren Ilona Wikholm, | |
|
9200 Se 91st Ave, Ste 200, Happy Valley, OR 97086-3756 | |
| (971) 801-1373 | |
| Not Available |
| Full Name | Dr Lauren Ilona Wikholm |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 15 Years |
| Location | 9200 Se 91st Ave, Happy Valley, 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 |
|---|---|---|---|
| 1982991147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | R72742 (Arizona) | Secondary |
| 208600000X | Surgery | MD178101 (Oregon) | Primary |
| 208600000X | Surgery | MD60810172 (Washington) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inovia Llc | 2860592854 | 15 |
| Inovia Llc | 2860592854 | 15 |
| 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 | Inovia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376753442 PECOS PAC ID: 2860592854 Enrollment ID: O20230822000457 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lauren Ilona Wikholm, 9200 Se 91st Ave, Ste 200, Happy Valley, OR 97086-3756 Ph: (971) 801-1373 | Dr Lauren Ilona Wikholm, 9200 Se 91st Ave, Ste 200, Happy Valley, OR 97086-3756 Ph: (971) 801-1373 |
Andrew D Kroeker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 Se 91st Ave Ste 240, Happy Valley, OR 97086 Phone: 541-231-5343 | |
Dr. Andrew Thomas Gentile, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9200 Se 91st Avenue, Happy Valley, OR 97086 Phone: 971-801-1373 Fax: 971-801-1401 |