Dr Aoife O'sullivan, MD | |
9555 Sw Barnes Rd Ste 255, Portland, OR 97225-6654 | |
(503) 908-1590 | |
(503) 723-2862 |
Full Name | Dr Aoife O'sullivan |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 9555 Sw Barnes Rd Ste 255, 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 |
---|---|---|---|
1073657003 | NPI | - | NPPES |
P00433444 | Other | MD | RAILROAD |
413344700 | Medicaid | MD | |
613LR353 | Other | MD | MEDICARE |
451601000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD174903 (Oregon) | Primary |
Entity Name | Advanced Internal Medicine Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487014163 PECOS PAC ID: 7214235258 Enrollment ID: O20160407001463 |
Mailing Address | Practice Location Address |
---|---|
Dr Aoife O'sullivan, MD 2954 Ne 50th Ave, Portland, OR 97213-2402 Ph: (410) 409-6574 | Dr Aoife O'sullivan, MD 9555 Sw Barnes Rd Ste 255, Portland, OR 97225-6654 Ph: (503) 908-1590 |
Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940 | |
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405 | |
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700 | |
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249 | |
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480 | |
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779 |