| Lisa C Grant, MD | |
|
1615 E 12th St, Suite 100, The Dalles, OR 97058-3278 | |
| (541) 296-1100 | |
| (541) 236-0606 |
| Full Name | Lisa C Grant |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 25 Years |
| Location | 1615 E 12th St, The Dalles, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801805627 | NPI | - | NPPES |
| 233198 | Medicaid | OR | |
| 8402315 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD24969 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid-columbia Medical Center | The dalles, OR | Hospital |
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Skyline Hospital | White salmon, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-columbia Medical Center | 3779487251 | 97 |
| Entity Name | Mid-columbia Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Grant, MD 1615 E 12th St, Suite 100, The Dalles, OR 97058-3278 Ph: (541) 296-1100 | Lisa C Grant, MD 1615 E 12th St, Suite 100, The Dalles, OR 97058-3278 Ph: (541) 296-1100 |
Daniel E Ferber, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1060 Webber St, The Dalles, OR 97058 Phone: 541-296-5452 | |
Emily A. Moser, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1615 E 12th St, Suite 100, The Dalles, OR 97058 Phone: 541-296-1100 Fax: 541-236-0606 | |
Dr. Edwin Romel Soriano De Leon, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1060 Webber St, The Dalles, OR 97058 Phone: 541-296-5452 | |
Denise Marie Dion, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 414 Washington St, Suite 1b, The Dalles, OR 97058 Phone: 541-980-5372 Fax: 541-296-4500 |