| Luke Dang, | |
|
966 12th St Se Ste 130, Salem, OR 97302-2860 | |
| (503) 837-6395 | |
| Not Available |
| Full Name | Luke Dang |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 966 12th St Se Ste 130, 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 |
|---|---|---|---|
| 1922526391 | NPI | - | NPPES |
| Entity Name | Clear Choice Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891327185 PECOS PAC ID: 4789005034 Enrollment ID: O20200611000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Dang, 966 12th St Se Ste 130, Salem, OR 97302-2860 Ph: () - | Luke Dang, 966 12th St Se Ste 130, Salem, OR 97302-2860 Ph: (503) 837-6395 |
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 |