Dr Larry Ha, MD | |
665 Winter St Se Bldg B2nd, Salem, OR 97301-3934 | |
(503) 561-5350 | |
Not Available |
Full Name | Dr Larry Ha |
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Gender | Male |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 665 Winter St Se Bldg B2nd, Salem, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639706914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2024027262 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316987746 PECOS PAC ID: 9830008770 Enrollment ID: O20040406001038 |
Mailing Address | Practice Location Address |
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Dr Larry Ha, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (314) 362-5641 | Dr Larry Ha, MD 665 Winter St Se Bldg B2nd, Salem, OR 97301-3934 Ph: (503) 561-5350 |
Alicia B Kavka, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 665 Winter Street Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Pamela P Smith, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Dr. Kaia Marie Adams, MD Pathology Medicare: Medicare Enrolled Practice Location: 665 Winter St Se Bldg B2nd, Salem, OR 97301 Phone: 503-561-5114 | |
Penny L Vanderveer, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Lawrence Konick, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 665 Winter Street, Salem, OR 97301 Phone: 503-561-5564 Fax: 503-561-4781 | |
Debbie C Wu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 | |
Melissa Lou Beal, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 665 Winter St Se, Salem, OR 97301 Phone: 503-561-5350 Fax: 503-561-4781 |