| Dr Virginia Sohn Kelly, MD | |
|
2211 Ne 139th St, Vancouver, WA 98686 | |
| (360) 487-1000 | |
| Not Available |
| Full Name | Dr Virginia Sohn Kelly |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 2211 Ne 139th St, 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 |
|---|---|---|---|
| 1043324270 | NPI | - | NPPES |
| 036082185 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036082185 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD190811 (Oregon) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Virginia Sohn Kelly, MD Po Box 2077, Portland, OR 97208-2077 Ph: () - | Dr Virginia Sohn Kelly, MD 2211 Ne 139th St, Vancouver, WA 98686 Ph: (360) 487-1000 |
Dr. Carol Chiu, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 800-813-2000 | |
Michelle Hocking De Geest, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-4244 Fax: 360-571-4246 | |
Richard T Kubiniec, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14508 Ne 20th Ave Ste 300, Vancouver, WA 98686 Phone: 360-892-0208 Fax: 360-892-9081 | |
Anna Kerlin Bell-hibbs, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2525 Ne 139th St Ste 270, Vancouver, WA 98686 Phone: 360-882-2778 Fax: 360-604-1672 | |
Dr. Jennifer Catherine O'connor, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2101 Ne 139th St, Ste 350, Vancouver, WA 98686 Phone: 360-256-4060 Fax: 360-256-0103 | |
Dr. Lissa C Daimaru-enoki, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 14406 Ne 20th Ave, Vancouver, WA 98686 Phone: 360-571-4244 Fax: 360-571-4246 |