| Confederated Tribes Of The Chehalis Reservation | |
|
21 Niederman Road Oakville WA 98568 | |
| (360) 709-1660 | |
| (360) 858-7300 |
| Full Name | Confederated Tribes Of The Chehalis Reservation |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 Niederman Road, Oakville, Washington |
| Authorized Official Name and Position | Meghan Walker (OFFICE MANAGER) |
| Authorized Official Contact | 3602735504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Confederated Tribes Of The Chehalis Reservation Po Box 570 Oakville WA 98568-0570 Ph: (360) 709-1690 | Confederated Tribes Of The Chehalis Reservation 21 Niederman Road Oakville WA 98568 Ph: (360) 709-1660 |
| NPI Number | 1346383379 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 1153219829 |
|---|---|
| Medicare Enrollment ID | O20040305000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346383379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Deborah Behre |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790994820 PECOS PAC ID: 3779509773 Enrollment ID: I20051019000609 |
| Provider Name | Francisco M Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124217716 PECOS PAC ID: 0941398622 Enrollment ID: I20071113000678 |
| Provider Name | Alan E Whipple |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1962484246 PECOS PAC ID: 2365532629 Enrollment ID: I20071226000506 |
| Provider Name | Rita L Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386995934 PECOS PAC ID: 0143475582 Enrollment ID: I20130308000489 |
| Provider Name | Jennifer N Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053772483 PECOS PAC ID: 3476840315 Enrollment ID: I20160921001092 |
| Provider Name | Michael Bryce Parent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487073896 PECOS PAC ID: 6507083326 Enrollment ID: I20180405001265 |
| Provider Name | Hang Chau-glendinning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457733461 PECOS PAC ID: 3577838093 Enrollment ID: I20181023000147 |
| Provider Name | Jessica Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326643693 PECOS PAC ID: 2769897214 Enrollment ID: I20210218001789 |
The Chehalis Tribal Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Niederman Rd, Oakville, WA 98568 Phone: 360-858-1660 Fax: 360-858-7300 | |
The Chehalis Tribal Health & Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Niederman Rd, Oakville, WA 98568 Phone: 360-858-1660 Fax: 360-858-1660 |