Kenneth George Lie, MD | |
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(503) 652-2880 | |
Not Available |
Full Name | Kenneth George Lie |
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Gender | Male |
Speciality | Anesthesiology |
Experience | 26 Years |
Location | 10180 Se Sunnyside Rd, Clackamas, 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 |
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1538277595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | MD24371 (Oregon) | Primary |
Facility Name | Location | Facility Type |
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Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 169 |
Oregon Anesthesiology Group Pc | 3476451659 | 225 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
Mailing Address | Practice Location Address |
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Kenneth George Lie, MD 13845 Se Mountain Crest Dr, Portland, OR 97086-6751 Ph: () - | Kenneth George Lie, MD 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (503) 652-2880 |
Dr. Alvin Yichieh Li, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Naun Chang, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Road, Ksmc Dept. Of Anesthesia, Clackamas, OR 97015 Phone: 503-638-2030 | |
Thomas Janisse, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Gregory James Blair, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 971-219-7925 | |
Dr. Melvyn Goldstein, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Daniel William Bytnar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Dept Anesthesiology, Clackamas, OR 97015 Phone: 503-571-4506 | |
Mark B Heinonen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Sunnyside Medical Center, Clackamas, OR 97015 Phone: 503-652-2880 |