Dr Yoshio Otaki, MD, PHD | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(503) 494-8305 | |
(503) 346-2021 |
Full Name | Dr Yoshio Otaki |
---|---|
Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871769380 | NPI | - | NPPES |
500800624 | Medicaid | OR | |
5915340 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | MD207503 (Oregon) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD207503 (Oregon) | Primary |
Entity Name | University Professional Services |
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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 |
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Dr Yoshio Otaki, MD, PHD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8311 | Dr Yoshio Otaki, MD, PHD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-8305 |
Eric Blaine Kirker, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd Ste 593, Portland, OR 97225 Phone: 503-216-8670 | |
Thomas Alexis Molloy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3303 Sw Bond Ave, Portland, OR 97239 Phone: 253-272-7777 Fax: 253-426-4142 | |
Albert Henry Krause, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 Phone: 503-226-6321 Fax: 503-227-3422 | |
Mithran Suresh Sukumar, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Dr. Frederick Anthony Tibayan, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code: L353, Portland, OR 97239 Phone: 503-494-7820 | |
Dr. Kai Erik Engstad, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210 Phone: 503-226-6321 Fax: 503-227-3422 | |
Dr. Brandon H Tieu, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, L353, Portland, OR 97239 Phone: 503-494-7820 |