| Dr Victoria Grace Rodgers Allsup, MD | |
|
675 N 5th St Ste 200, Lebanon, OR 97355-2875 | |
| (541) 451-6282 | |
| Not Available |
| Full Name | Dr Victoria Grace Rodgers Allsup |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 675 N 5th St Ste 200, Lebanon, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437786944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD224526 (Oregon) | Primary |
| 208000000X | Pediatrics | A187106 (California) | Secondary |
| Entity Name | Rady Children's Hospital - San Diego |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669617197 PECOS PAC ID: 3971677493 Enrollment ID: O20091015000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Victoria Grace Rodgers Allsup, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Dr Victoria Grace Rodgers Allsup, MD 675 N 5th St Ste 200, Lebanon, OR 97355-2875 Ph: (541) 451-6282 |
Dr. Thurman Allen Merritt, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 N 5th St Unit C1020, Lebanon, OR 97355 Phone: 541-451-7820 Fax: 541-451-7236 | |
Edward P. Junkins Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Mullins Dr, Lebanon, OR 97355 Phone: 541-259-0200 | |
Dr. Shi H. Lee, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Twin Oaks Ave, Suite A-2, Lebanon, OR 97355 Phone: 541-451-7820 Fax: 541-451-7236 | |
Dr. Richard Howell Ames, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 | |
Dr. Robert Paulsen Michael, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 675 N 5th St, Lebanon, OR 97355 Phone: 541-451-6282 Fax: 541-812-2038 | |
Carolina Del Socorro Amador, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 675 N 5th St Ste 200, Lebanon, OR 97355 Phone: 541-451-6282 |