Dr Malin Grady Friess, DMD | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(503) 494-8916 | |
(503) 494-0294 |
Full Name | Dr Malin Grady Friess |
---|---|
Gender | Male |
Speciality | Dentist |
Experience | 21 Years |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609866292 | NPI | - | NPPES |
DD3441 | Other | NM | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DD3441 (New Mexico) | Secondary |
1223G0001X | Dentist - General Practice | D9065 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Entity Name | University Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Dr Malin Grady Friess, DMD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8916 | Dr Malin Grady Friess, DMD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8916 |
Esther Jihae Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Se 52nd Ave, Portland, OR 97206 Phone: 503-775-4000 | |
Dr. Elizabeth Freda Schuler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 202 Ne 181st Ave Ste C, Portland, OR 97230 Phone: 503-912-0443 | |
Dr. Octavia S Lively, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Vetrn Hosp Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Michelle R Lawrence, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3671 Sw River Pkwy, Portland, OR 97239 Phone: 503-841-5658 Fax: 503-384-2953 | |
Albert Vinh Khiem Ngo, Dentist Medicare: Medicare Enrolled Practice Location: 4104 Se 82nd Ave Ste 450, Portland, OR 97266 Phone: 562-852-3113 | |
Dr. Esha Mukherjee, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2730 S Moody Ave, Portland, OR 97201 Phone: 502-531-3763 | |
Dr. Larry Robert Franz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12135 Se Foster Rd, Portland, OR 97266 Phone: 503-760-7610 Fax: 503-760-7896 |