Dr Branden David Tarlow, MD | |
1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 | |
(503) 963-2707 | |
(503) 963-2802 |
Full Name | Dr Branden David Tarlow |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 1111 Ne 99th Ave Ste 301, 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 |
---|---|---|---|
1063845998 | NPI | - | NPPES |
2210350 | Medicaid | WA | |
500807101 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R4785 (Texas) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | MD205352 (Oregon) | Primary |
Entity Name | The Oregon Clinic, Pc |
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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 Branden David Tarlow, MD 847 Ne 19th Ave Ste 300, Portland, OR 97232-2686 Ph: (503) 963-2801 | Dr Branden David Tarlow, MD 1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 Ph: (503) 963-2707 |
Salona Shrestha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392 | |
Dr. Emmanuel Trungtoan Tavan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901 | |
Ginevra Lois Liptan, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808 | |
Donald Richard Sullivan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949 | |
Dr. Victor Nguyen Pham, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 | |
Richa Uppal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2222 Nw Lovejoy St Ste 522, Portland, OR 97210 Phone: 971-229-4545 Fax: 503-286-7939 | |
Reem Hasan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562 |