Roy Laberge (NPI# 1487646881, PAC ID# 5698832400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1487646881 |
| PAC ID by PECOS | 5698832400 |
| Professional Enrollment ID | I20100204000018 |
| Full Name | Roy Laberge |
| Organization Legal Name | MID-COLUMBIA FAMILY PHYSICIANS PS |
| Address |
212 Neskyline Dr White Salmon WA 98672-1948 |
| Phone Number | 5094932133 |
| Gender | M |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1658268875 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501315 | SKYLINE HOSPITAL |
| 381318 | PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL |
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 212 Neskyline Dr, White Salmon, WA 98672-1948 | 5094932133 | MID-COLUMBIA FAMILY PHYSICIANS PS |
| Organization Legal Name | MID-COLUMBIA FAMILY PHYSICIANS PS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Faison | Family Medicine | Mid-columbia Family Physicians Ps | 212 Neskyline Dr, White Salmon, WA 98672-1948 |
| Troy R Witherrite | Family Medicine | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Margot R Bolstad | Family Medicine | Mid-columbia Family Physicians Ps | 212 Neskyline Dr, White Salmon, WA 98672-1948 |
| Melissa A Sutton | Family Medicine | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Liette C Witherrite | Family Medicine | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Gregory D Zuck | Family Medicine | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Connie M Strom | Physician Assistant | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Christopher P Samuels | Family Medicine | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Alicia S Gimenez | Family Medicine | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Stephanie Anne Naas | Nurse Practitioner | Mid-columbia Family Physicians Ps | 875 Sw Rock Creek Dr, Stevenson, WA 98648-4404 |
| Street Address |
212 NESKYLINE DR |
| City | WHITE SALMON |
| State | WA |
| Zip | 98672-1948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Faison | Family Medicine | Mid-columbia Family Physicians Ps | 212 Neskyline Dr, White Salmon, WA 98672-1948 |
| Margot R Bolstad | Family Medicine | Mid-columbia Family Physicians Ps | 212 Neskyline Dr, White Salmon, WA 98672-1948 |
| Jennifer Lynn Olson | Physician Assistant | Mid-columbia Family Physicians,p.s. | 212 Neskyline Dr, White Salmon, WA 98672-1948 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alex Wagner Baldwin | Optometry | 950 E Jewett Blvd, White Salmon, WA 98672-1120 | |
| Deborah K Sneed | Optometry | Bergstrom Family Eyecare P S | 950 E Jewett Blvd, White Salmon, WA 98672-1120 |
| Karen A Diana | Nurse Practitioner | Comprehensive Healthcare | 432 Ne Tohomish St, White Salmon, WA 98672-1940 |
| Russell M Smith | Emergency Medicine | Public Hospital District No 2 Klickitat County Washington | 211 Neskyline Dr, White Salmon, WA 98672-1948 |
| Matthew A Mullinix | Certified Registered Nurse Anesthetist (crna) | Public Hospital District No. 2, Klickitat County, Washington | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 |
| Seth W Lambert | General Surgery | Public Hospital District No. 2, Klickitat County, Washington | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 |
| Brendan B Ramey | Family Medicine | Public Hospital District No. 2, Klickitat County, Washington | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 |
| Matthew David Swanson | Family Medicine | Public Hospital District No. 2, Klickitat County, Washington | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 |
| Kathy Grewe | Cardiovascular Disease (cardiology) | Public Hospital District No. 2, Klickitat County, Washington | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 |
| Jeffrey R Cagley | Diagnostic Radiology | Public Hospital District No. 2, Klickitat County, Washington | 211 Ne Skyline Dr, White Salmon, WA 98672-1948 |
| Find all physicians in zip 98672 | |||
| City | WHITE SALMON |
| Zip Code | 98672 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WHITE SALMON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.