Dr Timothy O Noreuil, MD | |
3868 Se Deer Creek Way, Gresham, OR 97080-8497 | |
(503) 413-7711 | |
Not Available |
Full Name | Dr Timothy O Noreuil |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3868 Se Deer Creek Way, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144391350 | NPI | - | NPPES |
036090830001 | Medicaid | IL | |
500609152 | Medicaid | OR | |
8549487 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 036090830 (Illinois) | Secondary |
207L00000X | Anesthesiology | MD17778 (Oregon) | Primary |
Entity Name | Resource Anesthesiology Associates Of Il Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750347829 PECOS PAC ID: 5698006641 Enrollment ID: O20191007000960 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy O Noreuil, MD 3868 Se Deer Creek Way, Gresham, OR 97080-8497 Ph: (503) 413-7711 | Dr Timothy O Noreuil, MD 3868 Se Deer Creek Way, Gresham, OR 97080-8497 Ph: (503) 413-7711 |
Bahar M Ahady, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2840 Se Cleveland Dr, Gresham, OR 97080 Phone: 971-222-8770 | |
Adrian Anthony, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 689 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-382-8100 | |
Erik William Nielsen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3885 Se Augusta Pl, Gresham, OR 97080 Phone: 503-793-5230 Fax: 503-665-4756 |