Nancy S Boutin, MD | |
1015 3rd St Nw, Salem, OR 97304-4007 | |
(503) 588-3600 | |
Not Available |
Full Name | Nancy S Boutin |
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Gender | Female |
Speciality | Radiology - Hospice And Palliative Medicine |
Location | 1015 3rd St Nw, 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 |
---|---|---|---|
1841214327 | NPI | - | NPPES |
004650 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | MD13924 (Oregon) | Secondary |
2085H0002X | Radiology - Hospice And Palliative Medicine | MD13924 (Oregon) | Primary |
Entity Name | Willamette Valley Hospice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093715070 PECOS PAC ID: 2769467075 Enrollment ID: O20170125002408 |
Mailing Address | Practice Location Address |
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Nancy S Boutin, MD Po Box 14001, Salem, OR 97309-5014 Ph: (503) 561-5419 | Nancy S Boutin, MD 1015 3rd St Nw, Salem, OR 97304-4007 Ph: (503) 588-3600 |
Michael Smolin, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 | |
Matthew Y Kang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 875 Oak St Se, Suite 1080, Salem, OR 97301 Phone: 503-561-5294 Fax: 503-561-4789 | |
Gary Jones, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 | |
Dr. Jason Cody Hedge, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 | |
Dr. Edwin Yen Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 698 12th St Se Ste 145, Salem, OR 97301 Phone: 503-588-2674 Fax: 503-391-1200 | |
Thomas Cullen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 | |
David Harrison, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2925 Ryan Dr Se, Salem, OR 97301 Phone: 503-399-1262 Fax: 503-371-0777 |