| Leila Hotaki Mesch, MD | |
|
971 11th Ave, Longview, WA 98632-2503 | |
| (360) 423-6140 | |
| (360) 423-6140 |
| Full Name | Leila Hotaki Mesch |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 971 11th Ave, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215041124 | NPI | - | NPPES |
| 073668 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD19417 (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: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Entity Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Leila Hotaki Mesch, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Leila Hotaki Mesch, MD 971 11th Ave, Longview, WA 98632-2503 Ph: (360) 423-6140 |
Daryl William Linnell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-425-6111 Fax: 360-636-1297 | |
Pamela M Roberts, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 Fax: 360-423-1405 | |
Annette Pearl Ville, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140 | |
Dr. John Leigh Ey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-423-6140 Fax: 360-423-1405 | |
Mary Jane Hall, ARNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 971 11th Ave, Longview, WA 98632 Phone: 360-577-1771 Fax: 360-423-1405 | |
Arvy Wuysang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 800-813-2000 |