Dr Victor N Takla, MD | |
1015 Nw 22nd Ave, Portland, OR 97210-3025 | |
(208) 667-6511 | |
(208) 666-1642 |
Full Name | Dr Victor N Takla |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 1015 Nw 22nd Ave, Portland, 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 |
---|---|---|---|
1770591182 | NPI | - | NPPES |
050043869 | Other | OR | RR MEDICARE |
XPY194606 | Medicaid | CA | |
043802 | Medicaid | OR | |
1160456 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD15896 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth St John Medical Center | Longview, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 5890689293 | 180 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272 |
Mailing Address | Practice Location Address |
---|---|
Dr Victor N Takla, MD 4136 Nw Thunder Crest Rd, Portland, OR 97229-8028 Ph: (208) 667-6511 | Dr Victor N Takla, MD 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (208) 667-6511 |
Dr. Frank E Palmrose, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St, Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Dr. Thomas F Schrattenholzer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1130 Nw 22nd Ave Ste 345, Portland, OR 97210 Phone: 503-413-7513 Fax: 503-413-7503 | |
Dr. Lee E. Dorfman, DO, MS Anesthesiology Medicare: Medicare Enrolled Practice Location: 120 Nw 14th Ave, Suite 300, Portland, OR 97209 Phone: 503-299-9906 Fax: 503-225-9002 | |
Grace Chien, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Dr. Diane Miller, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland Vamc, P3 Anes, Portland, OR 97239 Phone: 503-220-8262 Fax: 503-721-7859 | |
Dr. Jeff Chen, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 Fax: 503-494-8368 | |
Dr. Jeffrey Philip Mako, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St, Suite 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 |