| Columbia Pacific Medical Services | |
|
2120 Exchange St Ste 200 Astoria OR 97103-3365 | |
| (503) 325-5360 | |
| (503) 325-9373 |
| Full Name | Columbia Pacific Medical Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 2120 Exchange St, Astoria, Oregon |
| Authorized Official Name and Position | Sangkun (sonny) Park (OWNER) |
| Authorized Official Contact | 5033255360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Pacific Medical Services 2120 Exchange St Ste 200 Astoria OR 97103-3365 Ph: (503) 325-5360 | Columbia Pacific Medical Services 2120 Exchange St Ste 200 Astoria OR 97103-3365 Ph: (503) 325-5360 |
| NPI Number | 1801919980 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 10/03/2012 |
| Medicare PECOS PAC ID | 8921096900 |
|---|---|
| Medicare Enrollment ID | O20040506000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801919980 | NPI | - | NPPES |
| 286976 | Medicaid | OR | |
| 091424000 | Other | OR | REGENCE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD18585 (Oregon) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Sangkun Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477622991 PECOS PAC ID: 8426076738 Enrollment ID: I20100802000399 |
Angel Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 15th St, Astoria, OR 97103 Phone: 503-325-5411 Fax: 503-325-3711 | |
Cmh Astoria Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2158 Exchange St Ste 107, Astoria, OR 97103 Phone: 503-338-4675 Fax: 503-338-4676 | |
Thomas S. Duncan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 18th St, Astoria, OR 97103 Phone: 503-325-9131 Fax: 888-371-4110 | |
Columbia Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2158 Exchange St Ste 107, Astoria, OR 97103 Phone: 503-338-4675 Fax: 503-338-4676 | |
North Coast Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Commercial St Ste 103, Astoria, OR 97103 Phone: 503-568-7497 | |
Clatsop County Health & Human Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Exchange St, Suite 100, Astoria, OR 97103 Phone: 503-338-3600 Fax: 503-325-8678 | |
Pacific Family Medicine Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2055 Exchange St, Ste 190, Astoria, OR 97103 Phone: 503-325-5300 Fax: 503-325-5400 |