| Dr Tammy Lee Bloom, MD | |
|
2525 Ne 139th St Ste 220, Vancouver, WA 98686-2719 | |
| (360) 397-4437 | |
| Not Available |
| Full Name | Dr Tammy Lee Bloom |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 2525 Ne 139th St Ste 220, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164482949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 37480-020 (Wisconsin) | Secondary |
| 208800000X | Urology | MD60525316 (Washington) | Primary |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tammy Lee Bloom, MD Po Box 4825, Portland, OR 97208-4825 Ph: (360) 397-4040 | Dr Tammy Lee Bloom, MD 2525 Ne 139th St Ste 220, Vancouver, WA 98686-2719 Ph: (360) 397-4437 |
Ms. Adrienne Michelle Heckler, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St, Suite 220, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1787 | |
Erin P Gibbons, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 505 Ne 87th Ave, Suite 200, Vancouver, WA 98664 Phone: 360-256-8836 Fax: 360-256-5024 | |
Dr. Michael Lin-brande, MD Urology Medicare: Medicare Enrolled Practice Location: 8614 E Mill Plain Blvd Ste 201, Vancouver, WA 98664 Phone: 360-729-8580 Fax: 360-729-8599 | |
Scott Richard Hawken, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 800-813-2000 | |
George J. Dechet, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 505 Ne 87th Ave, Suite 200, Vancouver, WA 98664 Phone: 360-256-8836 Fax: 360-256-5024 | |
Dr. Jason Patrick Smith, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 700 Ne 87th Ave, Vancouver, WA 98664 Phone: 360-882-2778 Fax: 360-604-1771 |