| Elizabeth S Severson, DO | |
|
1000 N Providence Dr Ste 120, Newberg, OR 97132-7582 | |
| (503) 537-5900 | |
| Not Available |
| Full Name | Elizabeth S Severson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 1000 N Providence Dr Ste 120, 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 |
|---|---|---|---|
| 1073048450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO211616 (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: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth S Severson, DO Po Box 3158, Portland, OR 97208-3158 Ph: () - | Elizabeth S Severson, DO 1000 N Providence Dr Ste 120, Newberg, OR 97132-7582 Ph: (503) 537-5900 |
James Lewis Miller, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-5607 | |
Lohith Veerappa Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-5607 | |
Sean M Stadtlander, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1003 Providence Dr, Suite 210, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5959 | |
Kristina Brittany Moon, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 N Providence Dr Ste 325, Newberg, OR 97132 Phone: 503-537-6026 Fax: 503-537-6027 | |
Dr. Lian R Shaw, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr, Suite 325, Newberg, OR 97132 Phone: 503-216-2188 | |
Theodore Allen Foster Iii, D.O., M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 325, Newberg, OR 97132 Phone: 503-537-6026 |