Dr Bobak Amir Ghaheri, MD | |
24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 | |
(503) 488-2600 | |
(503) 465-5468 |
Full Name | Dr Bobak Amir Ghaheri |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 22 Years |
Location | 24076 Se Stark St, Gresham, 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 |
---|---|---|---|
1114098696 | NPI | - | NPPES |
8481699 | Medicaid | WA | |
006246 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD27404 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Oregon Clinic, Pc | 2860390408 | 313 |
Entity Name | The Oregon Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
Mailing Address | Practice Location Address |
---|---|
Dr Bobak Amir Ghaheri, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801 | Dr Bobak Amir Ghaheri, MD 24076 Se Stark St, Suite 230, Gresham, OR 97030-3373 Ph: (503) 488-2600 |
Roya Mansouri, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 | |
Dr. Roger John Wobig, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 | |
Christy Richter Buckman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 | |
Dr. Carrie Maiorana Brown, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St Ste 230, Gresham, OR 97030 Phone: 503-488-2600 Fax: 503-465-5468 |