Patrick S O'hollaren, MD | |
9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | |
(503) 216-6050 | |
Not Available |
Full Name | Patrick S O'hollaren |
---|---|
Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | 9427 Sw Barnes Rd Ste 395, 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 |
---|---|---|---|
1891782868 | NPI | - | NPPES |
64795 | Medicaid | OR | |
8156036 | Medicaid | WA | |
A016 | Other | TRICARE | |
003395010 | Other | BLUE CROSS | |
0034023 | Medicaid | ID | |
0565A | Other | HEALTHNET | |
MD8720R | Medicaid | AK | |
930766376 | Other | CAREOREGON | |
8156036 | Other | COLUMBIA UNITED PF | |
F81042 | Other | PROVIDENCE HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | MD18712 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
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Patrick S O'hollaren, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Patrick S O'hollaren, MD 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 Ph: (503) 216-6050 |
Donald Andrew Young Iii, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Suite 514, Portland, OR 97213 Phone: 503-488-2323 Fax: 503-488-2340 | |
Dr. James Christopher Austin, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Pediatric Urology Cdw-6, Portland, OR 97239 Phone: 503-494-4808 Fax: 503-494-4743 | |
Lauren Lamina, Urology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Dr. Jin-hee Kim, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Ste 342, Portland, OR 97216 Phone: 503-255-5244 Fax: 503-255-5120 | |
Berhane Mebratu, NP Urology Medicare: Medicare Enrolled Practice Location: 9495 Sw Locust St Ste G, Portland, OR 97223 Phone: 559-321-2800 Fax: 559-321-2780 | |
Michael Joseph Conlin, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Ave, Ch10u, Portland, OR 97239 Phone: 503-494-4779 Fax: 503-494-8671 | |
Dr. James M Keane, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 422, Portland, OR 97225 Phone: 503-297-1078 Fax: 503-292-2176 |