Dominic Patrick Patillo, MD | |
10000 Se Main St, Suite 327, Portland, OR 97216-2448 | |
(503) 256-5866 | |
(503) 517-8209 |
Full Name | Dominic Patrick Patillo |
---|---|
Gender | Male |
Speciality | Hand Surgery |
Experience | 20 Years |
Location | 10000 Se Main 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 |
---|---|---|---|
1275649162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | MD151644 (Oregon) | Primary |
207X00000X | Orthopaedic Surgery | MD151644 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Providence Portland Medical Center | Portland, OR | Hospital |
Adventist Health Tillamook | Tillamook, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopedic And Sports Medicine Center Of Oregon Llc | 3678537602 | 12 |
Entity Name | Orthopedic & Sports Medicine Center Of Oregon Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891734877 PECOS PAC ID: 3678537602 Enrollment ID: O20041118000526 |
Mailing Address | Practice Location Address |
---|---|
Dominic Patrick Patillo, MD 1515 Nw 18th Ave, Ste 300, Portland, OR 97209-2539 Ph: (503) 256-5866 | Dominic Patrick Patillo, MD 10000 Se Main St, Suite 327, Portland, OR 97216-2448 Ph: (503) 256-5866 |
Cory Vernon Carlston, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St Ste 224, Portland, OR 97216 Phone: 503-261-6961 Fax: 503-261-6959 | |
Dr. Benjamin F Balme, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10000 Se Main St, Suite 128, Portland, OR 97216 Phone: 503-261-6961 Fax: 503-261-6959 | |
Dr. Matthew F Halsey, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Department Of Orthopaedics, Op-31, Portland, OR 97239 Phone: 503-494-6400 Fax: 503-494-5050 | |
Travis Campbell Philipp, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 S.w. Sam Jackson Park Rd., Oregon Health And Science University, Portland, OR 97239 Phone: 503-494-8311 | |
Dr. James Lester Baldwin, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt, #138, Portland, OR 97213 Phone: 503-223-1584 Fax: 503-241-8362 | |
Dr. Richard Lawrence Auran, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 5050 Ne Hoyt St Ste 138, Portland, OR 97213 Phone: 503-238-1061 Fax: 503-238-0841 | |
Carol Pelmas, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9427 Sw Barnes Rd, Portland, OR 97225 Phone: 503-203-2040 |