Dr Robert Ludemann, MD PHD | |
10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(503) 571-3066 | |
(503) 571-3069 |
Full Name | Dr Robert Ludemann |
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Gender | Male |
Speciality | Surgery |
Location | 10100 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356354161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD23450 (Oregon) | Primary |
208600000X | Surgery | MD00042691 (Washington) | Secondary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Ludemann, MD PHD 3404 Ne 55th Ave, Portland, OR 97213-3328 Ph: (503) 493-9592 | Dr Robert Ludemann, MD PHD 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 571-3066 |
Dr. James W Dennis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Mary Elizabeth Giswold, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3099 | |
Daniel Alan Ladizinsky, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Kasier Permanente Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-571-3162 Fax: 503-571-3069 | |
Dr. Nicholas Petrochko Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8984 | |
James A Schwarz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Charles Youngjoong Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-786-8435 |