Dominique D Laron, MD | |
3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 | |
(503) 221-3424 | |
(503) 221-3490 |
Full Name | Dominique D Laron |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3101 Sw Sam Jackson Park Rd, 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 |
---|---|---|---|
1164789079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | MD195426 (Oregon) | Secondary |
207X00000X | Orthopaedic Surgery | MD195426 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
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Dominique D Laron, MD 3101 Jackson Park Rd., Portland, OR 97239 Ph: (503) 215-6494 | Dominique D Laron, MD 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3009 Ph: (503) 221-3424 |
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 |