| Randall Fryer, DO | |
|
17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | |
| (503) 345-5900 | |
| (503) 652-8954 |
| Full Name | Randall Fryer |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 17070 Se Mcloughlin Blvd, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376599910 | NPI | - | NPPES |
| 029141 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO24652 (Oregon) | Primary |
| Entity Name | Mid-valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689625980 PECOS PAC ID: 2769391523 Enrollment ID: O20031111000297 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Fryer, DO 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 Ph: (503) 345-5900 | Randall Fryer, DO 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 Ph: (503) 345-5900 |
Johanna Beth Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 | |
Dr. Jerrold L Snow, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 Phone: 503-908-5880 Fax: 888-475-8729 | |
Rachelle Kirsten Sherard, LPN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-1300 | |
Dr. Jennifer Dawn Herber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 | |
Joshua D Reagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-772-4337 | |
William R Gillanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-513-8951 | |
Mrs. Elizabeth E. Callaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 |