Dr David C Koon, MD | |
1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 | |
(503) 413-6294 | |
(503) 413-7780 |
Full Name | Dr David C Koon |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 27 Years |
Location | 1040 Nw 22nd Ave, Portland, 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 |
---|---|---|---|
1528043205 | NPI | - | NPPES |
287563 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD23367 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 137 |
Rehabilitation Medicine Associates, Pc | 3274528021 | 5 |
Legacy Meridian Park Hospital | 5092609842 | 90 |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Entity Name | Legacy Meridian Park Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
Entity Name | Rehabilitation Medicine Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932131364 PECOS PAC ID: 3274528021 Enrollment ID: O20040420000182 |
Mailing Address | Practice Location Address |
---|---|
Dr David C Koon, MD 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 Ph: (503) 413-6294 | Dr David C Koon, MD 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210-3057 Ph: (503) 413-6294 |
Danielle Laure Erb, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1815 Sw Marlow Ave, Suite 110, Portland, OR 97225 Phone: 503-296-0918 Fax: 503-296-6158 | |
Dr. Duncan Soule, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2617 Nw Thurman St, Portland, OR 97210 Phone: 503-224-9010 Fax: 503-224-5551 | |
Dr. Stephanie K Liu, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 10940 Sw Barnes Rd # 375, Portland, OR 97225 Phone: 646-591-7011 | |
Thomas Lorish, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, #440, Portland, OR 97225 Phone: 503-216-7145 Fax: 503-216-4071 | |
Dr. Lynette Santos Malik, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3600 N Interstate Ave, Department Of Physical Medicine, Portland, OR 97227 Phone: 503-331-3070 Fax: 503-331-3089 | |
Dr. Gary Allen Ward, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1040 Nw 22nd Ave, Suite 320, Portland, OR 97210 Phone: 503-413-6294 Fax: 503-413-7780 | |
Steven James Janselewitz, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2801 N Gantenbein Ave, Portland, OR 97227 Phone: 503-413-4505 |