Dr David Jacob Liss, MD | |
19250 Sw 65th Ave, Suite 135, Tualatin, OR 97062-7452 | |
(503) 692-8560 | |
(503) 692-8562 |
Full Name | Dr David Jacob Liss |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 19250 Sw 65th Ave, 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 |
---|---|---|---|
1447294244 | NPI | - | NPPES |
500664842 | Medicaid | OR |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
Entity Name | Tuality Healthcare |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275591984 PECOS PAC ID: 3678486107 Enrollment ID: O20040130000359 |
Mailing Address | Practice Location Address |
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Dr David Jacob Liss, MD 847 Ne 19th Ave, Suite 300, Portland, OR 97232-2684 Ph: (503) 963-2801 | Dr David Jacob Liss, MD 19250 Sw 65th Ave, Suite 135, Tualatin, OR 97062-7452 Ph: (503) 692-8560 |
Jaymee E Delaney, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 19260 Sw 65th Ave, Ste 270, Tualatin, OR 97062 Phone: 503-352-0770 | |
Jessica Kazue Haraga, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 19250 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-692-3750 Fax: 503-691-2324 | |
Dr. Benito G Pataroque, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6485 Sw Borland Rd, Suite D, Tualatin, OR 97062 Phone: 503-692-3647 Fax: 503-691-1670 | |
Dr. Tammi Kaye Boston, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663 | |
Dr. William H Treuhaft, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 6485 Sw Borland Rd, Suite F, Tualatin, OR 97062 Phone: 503-413-3650 Fax: 503-413-3644 | |
Dean Kyle Peterson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 19300 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Mark Leo Mckinstry, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663 |