| Richard S Hamblin, PA-C | |
|
2318 Portland Rd, Suite 300, Newberg, OR 97132-1372 | |
| (503) 538-0411 | |
| (503) 538-6141 |
| Full Name | Richard S Hamblin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2318 Portland Rd, Newberg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275526816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Waterfall Clinic Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
| Entity Name | Icco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Hamblin, PA-C 2318 Portland Rd, Suite 300, Newberg, OR 97132-1372 Ph: (503) 538-0411 | Richard S Hamblin, PA-C 2318 Portland Rd, Suite 300, Newberg, OR 97132-1372 Ph: (503) 538-0411 |
Britny Cristina Ruilova Tellez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 448 N Werth Blvd, Newberg, OR 97132 Phone: 949-929-1906 |
Abby Louise Anderson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 414 N Meridian St, Newberg, OR 97132 Phone: 503-554-2521 |
Graham Isaac Starr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2251 E Hancock St Ste 103, Newberg, OR 97132 Phone: 971-281-3000 |
Ashley R Kelso, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 110, Newberg, OR 97132 Phone: 503-537-5900 |
John Phuoc Huynh Do, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 448 N Werth Blvd, Newberg, OR 97132 Phone: 503-538-8383 |
Jennifer Higham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 110210, Newberg, OR 97132 Phone: 503-537-5900 |
Jonathan D Fisk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Providence Dr Ste 120, Newberg, OR 97132 Phone: 503-537-5900 |