| Dr Mark Thomas Hastings, DPM | |
|
16316 Bryant Rd, Lake Oswego, OR 97035-4308 | |
| (503) 699-8220 | |
| (503) 699-7949 |
| Full Name | Dr Mark Thomas Hastings |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 30 Years |
| Location | 16316 Bryant Rd, Lake Oswego, 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 |
|---|---|---|---|
| 1073609640 | NPI | - | NPPES |
| 158759 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP00284 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Provider Name | Providence Health & Services Oregon |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Thomas Hastings, DPM 16316 Bryant Rd, Lake Oswego, OR 97035-4308 Ph: (503) 699-8220 | Dr Mark Thomas Hastings, DPM 16316 Bryant Rd, Lake Oswego, OR 97035-4308 Ph: (503) 699-8220 |
Oregon Institute Of Foot Care Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 55 S State St Ste 3220, Lake Oswego, OR 97034 Phone: 503-635-7742 | |
Jon Todd Fitzgerald, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Ste C1, Lake Oswego, OR 97034 Phone: 503-636-9656 Fax: 503-636-9657 | |
Deniese Elaine Jensen Granville, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 55 S State St Ste 3220, Lake Oswego, OR 97034 Phone: 503-635-7742 Fax: 503-635-8495 | |
Dr. Viengkeo T Noimany, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 18231 Siena Dr, Lake Oswego, OR 97034 Phone: 503-702-3803 | |
Myles Knutson, Dpm, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 311 B Ave Ste B, Lake Oswego, OR 97034 Phone: 503-804-7579 Fax: 503-210-0364 | |
Ms. Tobee Paige Gunter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17355 Lower Boones Ferry Road, Suite 100a, Lake Oswego, OR 97035 Phone: 503-224-8399 |