| Mr Stephen Spencer Austad, DO | |
|
123 C Ave, Lake Oswego, OR 97034-2353 | |
| (541) 316-6575 | |
| (541) 210-8913 |
| Full Name | Mr Stephen Spencer Austad |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 15 Years |
| Location | 123 C Ave, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679869119 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clear Choice Dermatology | 4789005034 | 30 |
| Clear Choice Dermatology | 4789005034 | 30 |
| Entity Name | Clear Choice Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891327185 PECOS PAC ID: 4789005034 Enrollment ID: O20200522001411 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Stephen Spencer Austad, DO 1815 E 19th St Ste B, The Dalles, OR 97058-3385 Ph: (801) 644-6019 | Mr Stephen Spencer Austad, DO 123 C Ave, Lake Oswego, OR 97034-2353 Ph: (541) 316-6575 |
Dr. John A Kazmierowski, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18405 Deer Oak Ave, Lake Oswego, OR 97035 Phone: 503-799-8086 | |
Dr. Larry Len Peterson, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 16877 65th Ave, Lake Oswego, OR 97035 Phone: 503-620-3376 Fax: 503-684-8554 | |
Margaret A Hewitt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4035 Sw Mercantile Dr, #210, Lake Oswego, OR 97035 Phone: 503-636-6114 Fax: 503-636-4896 | |
Betty Si Yuan Jiang, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way Ste 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
Andrew E Pitt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 | |
Dr. Barry Michael Austin, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 17704 Jean Way, Suite 102, Lake Oswego, OR 97035 Phone: 503-635-9221 Fax: 503-635-5902 |