Charles David Culbertson, DO | |
2801 N Gantenbein Ave, Portland, OR 97227-1623 | |
(503) 413-6205 | |
Not Available |
Full Name | Charles David Culbertson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 2801 N Gantenbein Ave, 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 |
---|---|---|---|
1467412239 | NPI | - | NPPES |
029027 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO24952 (Oregon) | Secondary |
208M00000X | Hospitalist | DO24952 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
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 |
Mailing Address | Practice Location Address |
---|---|
Charles David Culbertson, DO 922 Nw 11th Ave, #1102, Portland, OR 97209-2776 Ph: (503) 262-8393 | Charles David Culbertson, DO 2801 N Gantenbein Ave, Portland, OR 97227-1623 Ph: (503) 413-6205 |
Ellen B Stevenson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2801 N Gantenbein Ave, Department Of Pediatrics, Legacy Emanuel Hospital, Portland, OR 97227 Phone: 503-413-2402 Fax: 503-413-2566 | |
Ivan I Biley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Mt 2800, Portland, OR 97225 Phone: 503-216-2621 | |
Dr. Thomas G Wimmer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114 | |
Dr. Rhonda Ann Brown, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St, Portland, OR 97213 Phone: 503-215-0750 | |
Todd R Merrick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 Fax: 503-216-4114 | |
Dr. Rachel Anne Westwood, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239 Phone: 503-494-8311 | |
Joel N Papak, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, P3med, Portland, OR 97239 Phone: 503-220-8262 |