| Kathryn Leavitt, | |
|
9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 | |
| (503) 233-5548 | |
| (503) 230-1009 |
| Full Name | Kathryn Leavitt |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 9280 Se Sunnybrook Blvd Ste 300, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467871277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 65324 (Wisconsin) | Secondary |
| 207Y00000X | Otolaryngology | MD192956 (Oregon) | Primary |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Sky Lakes Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577 |
| Entity Name | Eastmoreland Ear, Nose & Throat, Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386754398 PECOS PAC ID: 5799758785 Enrollment ID: O20040817001428 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20061104000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Leavitt, 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 Ph: (503) 233-5548 | Kathryn Leavitt, 9280 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-9353 Ph: (503) 233-5548 |
Anna Helen Grosz, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3995 | |
Caroline Yi Yang, M.D Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd., Clackamas, OR 97015 Phone: 503-653-6440 | |
Mitch Edmond Brock, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 | |
Geoffrey Lawrence, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 | |
Dr. Sharon Marie Higgins, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-3865 | |
Dr. Clee E Lloyd, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3199 Fax: 503-571-9004 |