David Courtland Childers, MD | |
5050 Ne Hoyt St, Suite 540, Portland, OR 97213-2991 | |
(503) 215-6600 | |
Not Available |
Full Name | David Courtland Childers |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 17 Years |
Location | 5050 Ne Hoyt St, 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 |
---|---|---|---|
1043401029 | NPI | - | NPPES |
500622955 | Medicaid | OR | |
P00957592 | Other | OR | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD150643 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
David Courtland Childers, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | David Courtland Childers, MD 5050 Ne Hoyt St, Suite 540, Portland, OR 97213-2991 Ph: (503) 215-6600 |
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