Dr Phillip Andrew Letourneau, MD | |
10330 Se 32nd Ave Ste 210, Milwaukie, OR 97222-6594 | |
(503) 723-6525 | |
Not Available |
Full Name | Dr Phillip Andrew Letourneau |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 17 Years |
Location | 10330 Se 32nd Ave Ste 210, Milwaukie, 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 |
---|---|---|---|
1891021960 | NPI | - | NPPES |
500627898 | Medicaid | OR | |
8L6630 | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | MD166131 (Oregon) | Secondary |
208600000X | Surgery | MD166131 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Mid-columbia Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
Entity Name | Providence Health & Services - Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip Andrew Letourneau, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Dr Phillip Andrew Letourneau, MD 10330 Se 32nd Ave Ste 210, Milwaukie, OR 97222-6594 Ph: (503) 723-6525 |
John William Ragsdale, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 10330 Se 32nd Ave, Suite 340, Milwaukie, OR 97222 Phone: 503-652-7191 | |
Deanna K Olson, MD Surgery Medicare: Medicare Enrolled Practice Location: 3250 Se Llewellyn St, Milwaukie, OR 97222 Phone: 503-353-0888 Fax: 503-653-5060 |