| Dr Richard M Wong, MD | |
|
1025 Nw Couch St Apt 612, Portland, OR 97209-4130 | |
| (503) 224-0743 | |
| (503) 212-0206 |
| Full Name | Dr Richard M Wong |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 1025 Nw Couch St Apt 612, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780697177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | MD11690 (Oregon) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | MD00034518 (Washington) | Secondary |
| Entity Name | St Anthony Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831169903 PECOS PAC ID: 3678568268 Enrollment ID: O20040414001635 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard M Wong, MD 1025 Nw Couch St Apt 612, Portland, OR 97209-4130 Ph: (503) 224-0743 | Dr Richard M Wong, MD 1025 Nw Couch St Apt 612, Portland, OR 97209-4130 Ph: (503) 224-0743 |
Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424 | |
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200 | |
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388 | |
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473 | |
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854 | |
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590 | |
Anuradha Devabhaktuni, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 100, Portland, OR 97227 Phone: 503-413-1122 |