Cory Amanda Donovan, MD | |
1040 Nw 22nd Ave Ste 560, Portland, OR 97210-3097 | |
(503) 413-5525 | |
(503) 413-5526 |
Full Name | Cory Amanda Donovan |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 15 Years |
Location | 1040 Nw 22nd Ave Ste 560, Portland, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205062692 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | MD181298 (Oregon) | Secondary |
208600000X | Surgery | MD60729370 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
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 |
Mailing Address | Practice Location Address |
---|---|
Cory Amanda Donovan, MD 3701 Wilshire Boulevard, Suite 600, Los Angeles, CA 90010-4041 Ph: (323) 361-3550 | Cory Amanda Donovan, MD 1040 Nw 22nd Ave Ste 560, Portland, OR 97210-3097 Ph: (503) 413-5525 |
Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829 | |
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061 | |
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670 | |
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848 | |
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372 |