Bradley H Evans, MD | |
24900 Se Stark St Ste 109, Gresham, OR 97030-3381 | |
(503) 413-7162 | |
(503) 674-4140 |
Full Name | Bradley H Evans |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 40 Years |
Location | 24900 Se Stark St Ste 109, Gresham, 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 |
---|---|---|---|
1568464261 | NPI | - | NPPES |
029939 | Medicaid | OR | |
8129918 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD00043084 (Washington) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD17468 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 137 |
Legacy Mount Hood Medical Center | 3173515996 | 55 |
Legacy Emanuel Hospital And Health Center | 4587573639 | 182 |
Legacy Salmon Creek Hospital | 0446295711 | 236 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Entity Name | Legacy Emanuel Hospital & Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Entity Name | Legacy Meridian Park Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Entity Name | Portland Adventist Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Entity Name | Legacy Mount Hood Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
Mailing Address | Practice Location Address |
---|---|
Bradley H Evans, MD 24900 Se Stark St Ste 109, Gresham, OR 97030-3381 Ph: (503) 413-7162 | Bradley H Evans, MD 24900 Se Stark St Ste 109, Gresham, OR 97030-3381 Ph: (503) 413-7162 |
Kathrin Rose Meyers, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Kathryn L Huyssoon, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709 | |
Dr. Brittany Nicole Kishel, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Amy Katherine Chaumeton, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Aura Theresa Bondoc De Olazo, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Dr. Brittney B Mensen, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178 | |
Richard Wayne Craft Sr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 202, Gresham, OR 97030 Phone: 503-465-8887 Fax: 503-465-8808 |