Clytie S Rimberg, MD | |
4212 Ne Broadway St, Portland, OR 97213-1460 | |
(503) 249-8787 | |
Not Available |
Full Name | Clytie S Rimberg |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 4212 Ne Broadway St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477620029 | NPI | - | NPPES |
04287-4 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD 15353 (Oregon) | Primary |
Entity Name | Broadway Medical Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720082316 PECOS PAC ID: 2466447610 Enrollment ID: O20040416001171 |
Mailing Address | Practice Location Address |
---|---|
Clytie S Rimberg, MD 4212 Ne Broadway St, Portland, OR 97213-1460 Ph: (503) 249-8787 | Clytie S Rimberg, MD 4212 Ne Broadway St, Portland, OR 97213-1460 Ph: (503) 249-8787 |
Dr. Alison Marie Small, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 503-418-3376 | |
Milie Fang, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375 | |
Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947 | |
Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274 | |
Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 | |
Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968 | |
Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504 |