| Peter Michael Mullins, | |
|
2529 Ne 139th St, Vancouver, WA 98686-2719 | |
| (360) 882-2778 | |
| Not Available |
| Full Name | Peter Michael Mullins |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Pain Medicine |
| Location | 2529 Ne 139th St, Vancouver, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750879466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD61384668 (Washington) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | MD61384668 (Washington) | Primary |
| Entity Name | The Vancouver Clinic Inc Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992759427 PECOS PAC ID: 3173436490 Enrollment ID: O20031111000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Michael Mullins, Po Box 4825, Portland, OR 97208-4825 Ph: (360) 882-2778 | Peter Michael Mullins, 2529 Ne 139th St, Vancouver, WA 98686-2719 Ph: (360) 882-2778 |
Dr. Jordan Graybill, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Ne Park Plaza Dr Ste 110, Vancouver, WA 98684 Phone: 360-314-2548 Fax: 360-799-4634 | |
Dr. Allison Evans Gullo, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661 Phone: 360-993-3000 | |
Dr. Anthony E Larhs, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 221 Ne 104th Ave, Ste 106, Vancouver, WA 98664 Phone: 503-246-6666 Fax: 503-246-9465 |