| Dr Randy Lee Ellerbrook, MD | |
|
9155 Sw Barnes Rd, Suite 205, Portland, OR 97225-6625 | |
| (503) 297-5581 | |
| (503) 297-1421 |
| Full Name | Dr Randy Lee Ellerbrook |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 9155 Sw Barnes Rd, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063584217 | NPI | - | NPPES |
| 055715 | Medicaid | OR | |
| 110104202 | Other | OR | RAILROAD MEDICARE/PALMETT |
| 003335013 | Other | OR | REGENCE BLUE CROSS OF OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD08564 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randy Lee Ellerbrook, MD 9155 Sw Barnes Rd, Suite 230, Portland, OR 97225-6625 Ph: (503) 445-3235 | Dr Randy Lee Ellerbrook, MD 9155 Sw Barnes Rd, Suite 205, Portland, OR 97225-6625 Ph: (503) 297-5581 |
Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392 | |
Dr. Emmanuel Trungtoan Tavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901 | |
Ginevra Lois Liptan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808 | |
Donald Richard Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949 | |
Dr. Victor Nguyen Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 | |
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Sw 13th Ave, Portland, OR 97205 Phone: 503-221-0161 Fax: 503-274-1697 | |
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562 |