| Peacehealth Medical Group - Sedro Woolley | |
|
1990 Hospital Dr Sedro Woolley WA 98284 | |
| (360) 856-8810 | |
| (360) 714-2520 |
| Full Name | Peacehealth Medical Group - Sedro Woolley |
|---|---|
| Speciality | Family Medicine |
| Location | 1990 Hospital Dr, Sedro Woolley, Washington |
| Authorized Official Name and Position | Kimberly A Hodgkinson (EVP CFO) |
| Authorized Official Contact | 3607291145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peacehealth Medical Group - Sedro Woolley 1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 Ph: (360) 729-1411 | Peacehealth Medical Group - Sedro Woolley 1990 Hospital Dr Sedro Woolley WA 98284 Ph: (360) 856-8810 |
| NPI Number | 1407283179 |
|---|---|
| Provider Enumeration Date | 09/26/2013 |
| Last Update Date | 08/21/2018 |
| Medicare PECOS PAC ID | 1456584036 |
|---|---|
| Medicare Enrollment ID | O20140506001293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407283179 | NPI | - | NPPES |
| 2036892 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thuy T Tran Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710982228 PECOS PAC ID: 5698766335 Enrollment ID: I20040520001214 |
| Provider Name | Joel R Hoekema |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770508509 PECOS PAC ID: 3678564077 Enrollment ID: I20040524000738 |
| Provider Name | David S Morison |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790776854 PECOS PAC ID: 4587641691 Enrollment ID: I20040706001150 |
| Provider Name | John B Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396899845 PECOS PAC ID: 2860450079 Enrollment ID: I20041220000934 |
| Provider Name | J. William Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972508836 PECOS PAC ID: 4880689330 Enrollment ID: I20050127000108 |
| Provider Name | James Brad Diestelhorst |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336148766 PECOS PAC ID: 0547208092 Enrollment ID: I20050425000543 |
| Provider Name | Donald F Berry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578569927 PECOS PAC ID: 1052217791 Enrollment ID: I20050425000577 |
| Provider Name | William H Anderson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629031752 PECOS PAC ID: 1951340421 Enrollment ID: I20050502000310 |
| Provider Name | William R Saunders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710920418 PECOS PAC ID: 1456393891 Enrollment ID: I20050525001411 |
| Provider Name | Stephen P Woods |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598722423 PECOS PAC ID: 7416933866 Enrollment ID: I20050802001275 |
| Provider Name | James D Holstine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700845377 PECOS PAC ID: 1456369529 Enrollment ID: I20060331000028 |
| Provider Name | John F Macgregor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831149236 PECOS PAC ID: 7214940162 Enrollment ID: I20060720000044 |
| Provider Name | Thomas A Oliver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164471884 PECOS PAC ID: 5698788487 Enrollment ID: I20060721000026 |
| Provider Name | Brent E Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528012028 PECOS PAC ID: 9638182199 Enrollment ID: I20060728000369 |
| Provider Name | Karen S Hunter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023022068 PECOS PAC ID: 5890798342 Enrollment ID: I20060823000096 |
| Provider Name | Barbara A Bachman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437150224 PECOS PAC ID: 3870597073 Enrollment ID: I20060830000472 |
| Provider Name | Elizabeth A Gauer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912953498 PECOS PAC ID: 8820192172 Enrollment ID: I20070327000454 |
| Provider Name | Donald E Wakelin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790820546 PECOS PAC ID: 5193825982 Enrollment ID: I20070709000475 |
| Provider Name | Kelvin N Lam |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679589923 PECOS PAC ID: 8921056565 Enrollment ID: I20070803000533 |
| Provider Name | Chee Y Tan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497887657 PECOS PAC ID: 7416040035 Enrollment ID: I20070912000303 |
| Provider Name | Spencer W Hinds |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346246790 PECOS PAC ID: 5698869618 Enrollment ID: I20070921000379 |
| Provider Name | Natalie E Weatherby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912189093 PECOS PAC ID: 0749364255 Enrollment ID: I20080222000054 |
| Provider Name | Kelly D Van Horn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679757108 PECOS PAC ID: 2062599210 Enrollment ID: I20080411000426 |
| Provider Name | Peter A Beglin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154370906 PECOS PAC ID: 2163523440 Enrollment ID: I20080508000227 |
| Provider Name | Clark O Parrish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891791232 PECOS PAC ID: 3971672262 Enrollment ID: I20080512000767 |
| Provider Name | Dana B Stiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235135674 PECOS PAC ID: 0143399006 Enrollment ID: I20080519000100 |
| Provider Name | Lisa A Kaepernick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326146861 PECOS PAC ID: 3779552658 Enrollment ID: I20080716000805 |
| Provider Name | Michael J Mallory |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932207453 PECOS PAC ID: 4688643562 Enrollment ID: I20080716000815 |
| Provider Name | Carl S Mora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891893327 PECOS PAC ID: 6406825389 Enrollment ID: I20080716000817 |
| Provider Name | Stuart H Thorson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902932247 PECOS PAC ID: 5496745408 Enrollment ID: I20080910000314 |
| Provider Name | Jonathan W Fish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629039599 PECOS PAC ID: 9537216130 Enrollment ID: I20090420000178 |
| Provider Name | Paul T Connor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336197334 PECOS PAC ID: 9638082845 Enrollment ID: I20090701000200 |
| Provider Name | Chris A Beard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962504407 PECOS PAC ID: 6901899863 Enrollment ID: I20090722000554 |
| Provider Name | Tammy J Starr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245379080 PECOS PAC ID: 1557415536 Enrollment ID: I20090811000545 |
| Provider Name | Katrina L Hanna |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831347178 PECOS PAC ID: 0840332623 Enrollment ID: I20100115000681 |
| Provider Name | Stephen A Malone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639129406 PECOS PAC ID: 8325149610 Enrollment ID: I20100430000766 |
| Provider Name | Mark Daniels |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831149905 PECOS PAC ID: 0345341632 Enrollment ID: I20100511000597 |
| Provider Name | Nathan E Reiss |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326223066 PECOS PAC ID: 2466581178 Enrollment ID: I20100518000570 |
| Provider Name | Gur Raj S Deol |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588862924 PECOS PAC ID: 4587717657 Enrollment ID: I20100809000435 |
| Provider Name | Chad B Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033229000 PECOS PAC ID: 7416081500 Enrollment ID: I20100811000293 |
| Provider Name | Eric R Stark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134198252 PECOS PAC ID: 2062537749 Enrollment ID: I20100917001002 |
| Provider Name | Kaarsten Lang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588662472 PECOS PAC ID: 7012801830 Enrollment ID: I20110103000760 |
| Provider Name | Nadezhda I Volsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023076155 PECOS PAC ID: 9638244783 Enrollment ID: I20111103000050 |
| Provider Name | Aaron T Moore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598925851 PECOS PAC ID: 6103072988 Enrollment ID: I20120809000799 |
| Provider Name | Amir Gharaei |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063638773 PECOS PAC ID: 1456409358 Enrollment ID: I20130725000248 |
| Provider Name | Conor J Sheehy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942466719 PECOS PAC ID: 1153576814 Enrollment ID: I20130911000686 |
| Provider Name | Wen Huan S Ho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548469281 PECOS PAC ID: 7416102504 Enrollment ID: I20131010001686 |
| Provider Name | Nicole Joan Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720413180 PECOS PAC ID: 7719114560 Enrollment ID: I20131226000769 |
| Provider Name | Duncan O Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912337320 PECOS PAC ID: 8527298744 Enrollment ID: I20140307000301 |
| Provider Name | Brenda Bednar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245546910 PECOS PAC ID: 8123205762 Enrollment ID: I20140722001922 |
| Provider Name | Dina J Levin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669496907 PECOS PAC ID: 3870491376 Enrollment ID: I20140730000762 |
| Provider Name | Alison M Beer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326243387 PECOS PAC ID: 6507981107 Enrollment ID: I20140805000706 |
| Provider Name | Omar Jaffer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700095494 PECOS PAC ID: 4880877745 Enrollment ID: I20140818001374 |
| Provider Name | Eric D King |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700083409 PECOS PAC ID: 9830317841 Enrollment ID: I20140903001957 |
| Provider Name | Jeffrey M Krusniak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407877830 PECOS PAC ID: 7113968322 Enrollment ID: I20141111001689 |
| Provider Name | Robert William Cooney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851533137 PECOS PAC ID: 1355597949 Enrollment ID: I20150821014654 |
| Provider Name | Morgan F Merrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538324892 PECOS PAC ID: 3173795747 Enrollment ID: I20150929001016 |
| Provider Name | Peyman Soltani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134317092 PECOS PAC ID: 7315196417 Enrollment ID: I20160229001074 |
| Provider Name | Tabitha M Nenninger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922262146 PECOS PAC ID: 7012163702 Enrollment ID: I20160323000570 |
| Provider Name | Shujun Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316397805 PECOS PAC ID: 1254627300 Enrollment ID: I20160915002025 |
| Provider Name | Rosemarie I Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215273230 PECOS PAC ID: 1052543709 Enrollment ID: I20170223002417 |
| Provider Name | Dennis D Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669794160 PECOS PAC ID: 7214116672 Enrollment ID: I20170517002803 |
| Provider Name | Feng Y Zhao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104230465 PECOS PAC ID: 7618233966 Enrollment ID: I20171102001902 |
| Provider Name | Leanne Mika Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609387588 PECOS PAC ID: 5799043246 Enrollment ID: I20171211002582 |
| Provider Name | Roman Reznik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841432655 PECOS PAC ID: 6507017217 Enrollment ID: I20180607001472 |
| Provider Name | Desiree R Huntley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972098044 PECOS PAC ID: 5092065508 Enrollment ID: I20180904002971 |
| Provider Name | Lindsay E Emerick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174935035 PECOS PAC ID: 5799058665 Enrollment ID: I20180917000346 |
| Provider Name | Aaron D Brinklow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326434531 PECOS PAC ID: 4486906955 Enrollment ID: I20181010003494 |
| Provider Name | Laurilee M Reiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730673104 PECOS PAC ID: 8325390834 Enrollment ID: I20181011000802 |
| Provider Name | Graham S Meeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043729619 PECOS PAC ID: 0042577074 Enrollment ID: I20181016001455 |
| Provider Name | Indeep K Bal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811304157 PECOS PAC ID: 8527363233 Enrollment ID: I20190125000413 |
| Provider Name | Rebecca J Springer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851720619 PECOS PAC ID: 1951640135 Enrollment ID: I20190306000639 |
| Provider Name | Melissa L Hedlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467926238 PECOS PAC ID: 7810220506 Enrollment ID: I20190612001439 |
| Provider Name | Karman Tandon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790121648 PECOS PAC ID: 2062712813 Enrollment ID: I20190710000389 |
| Provider Name | Kevin E Steel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578624979 PECOS PAC ID: 3678648110 Enrollment ID: I20190812003748 |
| Provider Name | Jimmy K Yee |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386040616 PECOS PAC ID: 8123330750 Enrollment ID: I20190819003644 |
| Provider Name | Gurkaran Singh Thiara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235685520 PECOS PAC ID: 1254617590 Enrollment ID: I20190823002066 |
| Provider Name | Anthony A Holmes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871933838 PECOS PAC ID: 5698065183 Enrollment ID: I20190827001187 |
| Provider Name | Martin J Tinkerhess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417305129 PECOS PAC ID: 7113214552 Enrollment ID: I20191001002768 |
| Provider Name | Brigitta Mast Drolet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457738999 PECOS PAC ID: 6406167535 Enrollment ID: I20191017002105 |
| Provider Name | Michel Barakat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134411341 PECOS PAC ID: 0547562209 Enrollment ID: I20191114000692 |
| Provider Name | Lindsay Ann Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124462791 PECOS PAC ID: 7113297235 Enrollment ID: I20191118000758 |
| Provider Name | Farabi Hussain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104866748 PECOS PAC ID: 7416991989 Enrollment ID: I20200115000964 |
| Provider Name | Allison J Robinson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1346212909 PECOS PAC ID: 3173764941 Enrollment ID: I20200318002666 |
| Provider Name | Mary S Schweigert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760029631 PECOS PAC ID: 7315375573 Enrollment ID: I20200505000702 |
| Provider Name | Amy M Loughlin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750397253 PECOS PAC ID: 6406945021 Enrollment ID: I20200518001021 |
| Provider Name | Seyedali Hejazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215357058 PECOS PAC ID: 8527480193 Enrollment ID: I20200629000547 |
| Provider Name | Mohammed Aboelsoud |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316351430 PECOS PAC ID: 1951623677 Enrollment ID: I20200715003379 |
| Provider Name | Jeffrey B Schachter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851770408 PECOS PAC ID: 7416265376 Enrollment ID: I20200717000699 |
| Provider Name | Michael E Reopelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194102376 PECOS PAC ID: 0244550358 Enrollment ID: I20200811002743 |
| Provider Name | Dempsie Morrison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992031793 PECOS PAC ID: 6103070719 Enrollment ID: I20200910001853 |
| Provider Name | Susan S Cho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194775437 PECOS PAC ID: 2567353204 Enrollment ID: I20201015002164 |
| Provider Name | Joseph G Gabriel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417339037 PECOS PAC ID: 1456753540 Enrollment ID: I20210712004153 |
| Provider Name | Alisa C Bray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124410071 PECOS PAC ID: 9032447792 Enrollment ID: I20210913000481 |
| Provider Name | See-yin So |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972920148 PECOS PAC ID: 3678823085 Enrollment ID: I20211015002073 |
| Provider Name | Aprill P Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770938912 PECOS PAC ID: 7618260209 Enrollment ID: I20220201000001 |
| Provider Name | Katherine F Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700546934 PECOS PAC ID: 0042697682 Enrollment ID: I20220519001828 |
| Provider Name | Jennifer Clark |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952765505 PECOS PAC ID: 2163714171 Enrollment ID: I20220531000680 |
| Provider Name | Joshua Schulte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568664316 PECOS PAC ID: 2668628702 Enrollment ID: I20220601002389 |
| Provider Name | Andrea L Bradford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437542255 PECOS PAC ID: 8527446319 Enrollment ID: I20220607002455 |
| Provider Name | Melinda Gayle Boonstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740530724 PECOS PAC ID: 5395129258 Enrollment ID: I20220826002155 |
| Provider Name | Braden O'shaughnessy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619402542 PECOS PAC ID: 8325462229 Enrollment ID: I20220920001205 |
| Provider Name | Karelisa Elaine King |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548983091 PECOS PAC ID: 0749657575 Enrollment ID: I20221107002968 |
| Provider Name | Samantha Schuko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881316933 PECOS PAC ID: 6305216250 Enrollment ID: I20230110002506 |
| Provider Name | Emily Frances Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639705429 PECOS PAC ID: 7517339138 Enrollment ID: I20230208001698 |
| Provider Name | Calvin K Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043732415 PECOS PAC ID: 9830460906 Enrollment ID: I20230606001777 |
| Provider Name | Ahmed Alshaban |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720442650 PECOS PAC ID: 6103152046 Enrollment ID: I20230818002664 |
| Provider Name | Michael J Maidan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245851112 PECOS PAC ID: 0941628838 Enrollment ID: I20230912002985 |
Skagit Valley Medical Center At Sedro Woolley Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 Hospital Drive, Sedro Woolley, WA 98274 Phone: 360-856-4222 Fax: 360-856-1908 | |
United General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Ball St, Sedro Woolley, WA 98284 Phone: 360-855-1411 | |
Dietrich & Smith Clinic Inc P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2241 Hospital Dr, Sedro Woolley, WA 98284 Phone: 360-856-4141 Fax: 360-856-4145 | |
Physicians Care Family Medicine Inc Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 Hospital Drive, Suite 100, Sedro Woolley, WA 98284 Phone: 360-856-4141 Fax: 360-856-4145 | |
Skagit Valley Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 Hospital Dr, Suite 200, Sedro Woolley, WA 98284 Phone: 360-856-4222 Fax: 360-854-2792 | |
Sedro Woolley Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Ball St, Sedro Woolley, WA 98284 Phone: 360-855-1411 Fax: 360-855-1933 |