| Justin Brana Pavlovich, MD | |
| 1608 S J St Fl 5, Tacoma, WA 98405-4930 | |
| (253) 274-7505 | |
| (253) 274-7948 | 
| Full Name | Justin Brana Pavlovich | 
|---|---|
| Gender | Male | 
| Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck | 
| Location | 1608 S J St Fl 5, Tacoma, Washington | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528238805 | NPI | - | NPPES | 
| Entity Name | Portland Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Justin Brana Pavlovich, MD 1608 S J St Fl 5, Tacoma, WA 98405-4930 Ph: (253) 274-7505 | Justin Brana Pavlovich, MD 1608 S J St Fl 5, Tacoma, WA 98405-4930 Ph: (253) 274-7505 | 
| Dr. Leonard Leroy Hays, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9040a Fitzsimmonss Dr (madigan Army Med Cen, Mchj-set, Tacoma, WA 98431 Phone: 253-968-1420 Fax: 253-968-3154 | |
| Dr. Kenneth C. Deem, M.D., M.P.H. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 | |
| Dr. Nicholas James Hamill, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1901 S Union Ave, B-2010, Tacoma, WA 98405 Phone: 253-627-4502 Fax: 253-627-4465 | |
| Dr. Stanton A Erwin, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 316 Mlk Jr Wy, Ste 305, Tacoma, WA 98405 Phone: 253-428-0205 Fax: 253-272-4765 | |
| Mr. Charles D Prewitt, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1901 S Union Ave, Ste B3001, Tacoma, WA 98405 Phone: 253-272-7614 Fax: 253-383-1381 | |
| Dr. Timothy Carter Blood Jr., M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave Otolaryngology Clinic, Tacoma, WA 98431 Phone: 253-968-1420 Fax: 253-968-3154 | |
| Zachariah Kaniathara Chandy,  Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301 |