| Wimahl Family Clinic, Pc | |
|
2120 Exchange St Suite 209 Astoria OR 97103-3365 | |
| (503) 338-2993 | |
| (503) 338-2996 |
| Full Name | Wimahl Family Clinic, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Exchange St, Astoria, Oregon |
| Authorized Official Name and Position | Corrina Smith (CLINIC MANAGER) |
| Authorized Official Contact | 5033382993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wimahl Family Clinic, Pc 2120 Exchange St Suite 209 Astoria OR 97103-3365 Ph: (503) 338-2993 | Wimahl Family Clinic, Pc 2120 Exchange St Suite 209 Astoria OR 97103-3365 Ph: (503) 338-2993 |
| NPI Number | 1861664781 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 6507937018 |
|---|---|
| Medicare Enrollment ID | O20080611000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861664781 | NPI | - | NPPES |
| 8377632 | Medicaid | WA | |
| 275225 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24702 (Oregon) | Primary |
| Provider Name | Alexander F Gloria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346272739 PECOS PAC ID: 5597842260 Enrollment ID: I20080404000349 |
| Provider Name | Adriane Marie Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871869149 PECOS PAC ID: 6305000357 Enrollment ID: I20130423000339 |
| Provider Name | Jennifer Shannon Haag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285095398 PECOS PAC ID: 9133411671 Enrollment ID: I20180214001079 |
Bobek Enterprises Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 15th St, Astoria, OR 97103 Phone: 503-325-5411 Fax: 503-325-3711 | |
Columbia Lutheran Charities 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 | |
Yakim Valley Farm Workers Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2275 Commercial St, Astoria, OR 97103 Phone: 503-325-8315 | |
Columbia Lutheran Charities 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 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 |