Angela K Bohlke (NPI# 1649453390, PAC ID# 7719157692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1649453390 |
| PAC ID by PECOS | 7719157692 |
| Professional Enrollment ID | I20110901000277 |
| Full Name | Angela K Bohlke |
| Organization Legal Name | SILVER FALLS DERMATOLOGY PC |
| Address |
831 Nw Council Dr Suite 301 Gresham OR 97030-3725 |
| Phone Number | 5033628385 |
| Gender | F |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5890863492 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 | 5033628385 | SILVER FALLS DERMATOLOGY PC |
| 1793 13th St Se, Salem, OR 97302-2541 | 5033628385 | SILVER FALLS DERMATOLOGY PC |
| Organization Legal Name | SILVER FALLS DERMATOLOGY PC |
| Physicians | 46 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Elizabeth Smith | Physician Assistant | Silver Falls Dermatology PC | 375 Park Ave, Suite 5, Coos Bay, OR 97420-2242 |
| Lauren E Boudreaux | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Patricia Ann Stewart | Dermatology | Silver Falls Dermatology PC | 700 S 320 St A, Federal Way, WA 98003-5254 |
| Elizabeth Schmidt | Physician Assistant | Silver Falls Dermatology PC | 375 Se Norton Ln C, Mcminnville, OR 97128-8484 |
| Ladessa Christensen | Nurse Practitioner | Silver Falls Dermatology PC | 685 Evergreen Rd Ne, Woodburn, OR 97071-2910 |
| Rick D Pittman | Vascular Surgery | Silver Falls Dermatology PC | 1793 13th St Se, Salem, OR 97302-2541 |
| Sandra Hadenfeld | Nurse Practitioner | Silver Falls Dermatology PC | 1006 N H St 3rd Floor, Aberdeen, WA 98520-2599 |
| Mark D Williams | Physician Assistant | Silver Falls Dermatology PC | 1390 Waverly Dr Se, Albany, OR 97322-6945 |
| Anna Delaine Dodd | Nurse Practitioner | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Whitney Fancher | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Street Address |
831 NW COUNCIL DR SUITE 301 |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren E Boudreaux | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Anna Delaine Dodd | Nurse Practitioner | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Whitney Fancher | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Russell John Young | Dermatology | Silver Falls Dermatology PC | 831 Nw Council Dr, Suite 301, Gresham, OR 97030-3725 |
| Abigail J Griffith | Clinical Social Worker | Portland Adventist Medical Center | 831 Nw Council Dr, Suite 125, Gresham, OR 97030-3794 |
| Svetlana Taycher | Family Medicine | Portland Adventist Medical Center | 831 Nw Council Dr, Suite 125, Gresham, OR 97030-3794 |
| Jenna N Lander | Clinical Social Worker | Portland Adventist Medical Center | 831 Nw Council Dr, Suite 101, Gresham, OR 97030-3722 |
| Shellie Anne Yoshie Finck | Nurse Practitioner | Portland Adventist Medical Center | 831 Nw Council Dr, Suite 101, Gresham, OR 97030-3722 |
| Debra F Johnson | Nurse Practitioner | Portland Adventist Medical Center | 831 Nw Council Dr, Suite 101, Gresham, OR 97030-3722 |
| Kevin K Do | Family Medicine | Portland Adventist Medical Center | 831 Nw Council Dr, Suite 101, Gresham, OR 97030-3722 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | PATHOLOGY |
| City + Specialty | GRESHAM + PATHOLOGY |
Please comment or provide details below to improve the information on Angela K Bohlke.
| 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.