Dr Shannon Marie Howard, MD | |
1003 N Providence Dr Ste 210, Newberg, OR 97132-7523 | |
(503) 537-5620 | |
(971) 282-0099 |
Full Name | Dr Shannon Marie Howard |
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Gender | Female |
Speciality | Surgery |
Location | 1003 N Providence Dr Ste 210, Newberg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144639691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD193789 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
Mailing Address | Practice Location Address |
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Dr Shannon Marie Howard, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Dr Shannon Marie Howard, MD 1003 N Providence Dr Ste 210, Newberg, OR 97132-7523 Ph: (503) 537-5620 |
Gregory Michael Stroup, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr, Suite 210, Newberg, OR 97132 Phone: 503-537-5620 Fax: 971-282-0099 | |
Richard M Fisher, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr, Suite # 210, Newberg, OR 97132 Phone: 503-537-5620 Fax: 971-282-0099 | |
Kim L Bui, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1003 Providence Drive, Suite 210, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5959 | |
Janelle Deanne Yutzie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr, Ste 210, Newberg, OR 97132 Phone: 503-537-5620 |