Jonathan Clark Crist, MD | |
9250 Sw Hall Blvd, Tigard, OR 97223-6721 | |
(503) 293-0161 | |
(503) 297-9357 |
Full Name | Jonathan Clark Crist |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 20 Years |
Location | 9250 Sw Hall Blvd, Tigard, 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 |
---|---|---|---|
1134252851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 6604923-8905 (Utah) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | MD28274 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portland Clinic | 8224942867 | 99 |
Entity Name | Portland Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Clark Crist, MD 800 Sw 13th Ave, Portland, OR 97205-1902 Ph: (503) 221-0161 | Jonathan Clark Crist, MD 9250 Sw Hall Blvd, Tigard, OR 97223-6721 Ph: (503) 293-0161 |
Dr. Michael Shihjay Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-221-0161 Fax: 503-452-3200 | |
Daniel L Graham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920 | |
Nathan A Way, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, OR 97224 Phone: 503-216-0700 | |
Michele Nicolette Adamcak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 | |
Anne Michelle Valente, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 | |
Douglas R Niehus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220 |