| Trevor Fisher, MD | |
|
1046 W 6th Avenue, Emergency Department, Albany, OR 97321 | |
| (503) 926-2244 | |
| Not Available |
| Full Name | Trevor Fisher |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1046 W 6th Avenue, Albany, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336101567 | NPI | - | NPPES |
| 134057 | Medicaid | OR | |
| 8941026 | Other | WA CRIME VICTIMS | |
| 8252892 | Medicaid | WA | |
| 0211929 | Other | WASHINGTON L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00038675 (Oregon) | Primary |
| Entity Name | Eastside Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689683229 PECOS PAC ID: 5193725372 Enrollment ID: O20070111000647 |
| Entity Name | Sound Physicians Emergency Medicine Of Washington Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629532064 PECOS PAC ID: 7315279007 Enrollment ID: O20191030000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Fisher, MD Po Box 2065, Seattle, WA 98111-2065 Ph: (888) 633-0083 | Trevor Fisher, MD 1046 W 6th Avenue, Emergency Department, Albany, OR 97321 Ph: (503) 926-2244 |
Alexander Ells, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Thomas Vanasche, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1700 Geary St Se, Albany, OR 97322 Phone: 541-812-5500 | |
Nathan Alan Garton, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Mr. Blaine B. Rourke, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Evita Lopez, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Dr. Alex Jordan Pittman, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 | |
Megan Dell, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 6th Ave Sw, Albany, OR 97321 Phone: 541-812-4000 |