Dr Christina Lee, MD | |
19250 Sw 65th Ave Ste 260, Tualatin, OR 97062-7747 | |
(503) 413-5525 | |
Not Available |
Full Name | Dr Christina Lee |
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Gender | Female |
Speciality | Surgery |
Location | 19250 Sw 65th Ave Ste 260, Tualatin, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669739306 | NPI | - | NPPES |
1669739306 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 61927 (Wisconsin) | Secondary |
208600000X | Surgery | MD214549 (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
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Dr Christina Lee, MD Po Box 3777, Portland, OR 97208-3777 Ph: () - | Dr Christina Lee, MD 19250 Sw 65th Ave Ste 260, Tualatin, OR 97062-7747 Ph: (503) 413-5525 |
James A Kilgore, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave #365, Tualatin, OR 97062 Phone: 503-691-0364 Fax: 503-612-6663 | |
Dr. Heather Ann Nelson Zarour, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062 Phone: 503-692-5650 Fax: 503-692-7903 | |
Dr. James Patrick Craven, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062 Phone: 503-692-5650 Fax: 503-692-7903 | |
Daniel Fitzgerald Gardner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 19250 Sw 65th Ave Ste 235, Tualatin, OR 97062 Phone: 503-692-5650 Fax: 503-692-7903 | |
Nathan Arthur Kemalyan, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6485 Sw Borland Rd, Ste B, Tualatin, OR 97062 Phone: 503-468-3222 Fax: 458-888-0891 | |
Dr. Timothy Patrick Connall, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 19801 Sw 72nd Ave, Suite 160, Tualatin, OR 97062 Phone: 503-783-0544 |