| Thomas A Phipps, MD | |
|
19260 Sw 65th Ave, Ste 280, Tualatin, OR 97062-5708 | |
| (503) 692-2850 | |
| (503) 692-4465 |
| Full Name | Thomas A Phipps |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 19260 Sw 65th Ave, Tualatin, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568467892 | NPI | - | NPPES |
| 175778 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD14730 (Oregon) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 14730 (Oregon) | Primary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Phipps, MD 19260 Sw 65th Ave, Ste 280, Tualatin, OR 97062-5708 Ph: (503) 692-2850 | Thomas A Phipps, MD 19260 Sw 65th Ave, Ste 280, Tualatin, OR 97062-5708 Ph: (503) 692-2850 |
Paul R Ash, MD, PH. D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-413-8407 Fax: 503-413-6951 | |
Candice H Kam, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 Phone: 503-413-6166 | |
Michael P Sluss, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19260 Sw 65th Ave, #280, Tualatin, OR 97062 Phone: 503-692-2850 Fax: 503-692-4465 | |
Dr. Kevin Chao Hong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR 97062 Phone: 503-612-1000 | |
Dr. Yara D Nazzal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave Ste 280, Tualatin, OR 97062 Phone: 503-413-6166 | |
Melissa Brook Mendez, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-1212 |