Dr Stephanie J Mengden Koon, MD | |
12254 Sw Garden Pl, Tigard, OR 97223-8246 | |
(503) 906-7300 | |
(503) 245-8219 |
Full Name | Dr Stephanie J Mengden Koon |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 22 Years |
Location | 12254 Sw Garden Pl, Tigard, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780667527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0900X | Dermatology - Dermatopathology | MD28731 (Oregon) | Primary |
207N00000X | Dermatology | MD28731 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Ohsu Hospital And Clinics | Portland, OR | Hospital |
St Charles Medical Center - Bend | Bend, OR | Hospital |
Peacehealth St John Medical Center | Longview, WA | Hospital |
Sky Lakes Medical Center | Klamath falls, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oregon Health And Sciences University/university Medical Group | 4880760107 | 1479 |
Entity Name | University Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephanie J Mengden Koon, MD Po Box 230457, Tigard, OR 97281-0457 Ph: (503) 906-7300 | Dr Stephanie J Mengden Koon, MD 12254 Sw Garden Pl, Tigard, OR 97223-8246 Ph: (503) 906-7300 |
Heh Shin Racher Kwak, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd Ste 201, Tigard, OR 97224 Phone: 503-216-0500 Fax: 971-712-2120 | |
Dr. Eric J Hester, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 | |
Jessica N Mehta, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0770 | |
Matthew Charles Mcclelland, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-216-0700 | |
Shobha N. Jetmalani, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sw Lower Boones Ferry Rd, Suite 100, Tigard, OR 97224 Phone: 503-215-0700 Fax: 503-216-0750 | |
Scott A.b. Collins, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 10215 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-245-2415 |