| Tyler Scott Mittelstaedt, MD-MPH | |
|
1510 Division St Ste 210, Oregon City, OR 97045-1599 | |
| (503) 723-6525 | |
| Not Available |
| Full Name | Tyler Scott Mittelstaedt |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 1510 Division St Ste 210, Oregon City, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053678284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD183147 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Skyline Hospital | White salmon, WA | Hospital |
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital District No. 2, Klickitat County, Washington | 4981592144 | 27 |
| Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952483653 PECOS PAC ID: 4981592144 Enrollment ID: O20040309000490 |
| Entity Name | Public Hospital District No. 2, Klickitat County, Washington |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760455687 PECOS PAC ID: 4981592144 Enrollment ID: O20071220000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Scott Mittelstaedt, MD-MPH Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Tyler Scott Mittelstaedt, MD-MPH 1510 Division St Ste 210, Oregon City, OR 97045-1599 Ph: (503) 723-6525 |
Mr. John Joseph Antolik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 728 Molalla Ave, #c, Oregon City, OR 97045 Phone: 503-557-1233 Fax: 503-557-1310 | |
Shawn M Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 Fax: 503-723-6508 | |
Eleazar D Lawson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Dr. John Stephen Domreis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Melissa Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Dr. Kevin Raymond Johnson I, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1510 Division St, Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 Fax: 503-723-6508 |