Lisa Marie Newton-klucevek, DO | |
9450 Sw Barnes Rd Ste 100, Portland, OR 97225-6642 | |
(503) 292-9560 | |
(503) 292-9510 |
Full Name | Lisa Marie Newton-klucevek |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 9450 Sw Barnes Rd Ste 100, 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 |
---|---|---|---|
1528155280 | NPI | - | NPPES |
287850 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO21207 (Oregon) | Primary |
207Q00000X | Family Medicine | 0021207 (Oregon) | Secondary |
Entity Name | Optumcare Portland Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710003140 PECOS PAC ID: 8820986441 Enrollment ID: O20040305000933 |
Mailing Address | Practice Location Address |
---|---|
Lisa Marie Newton-klucevek, DO 9250 Sw Hall Blvd, Tigard, OR 97223 Ph: (503) 293-0161 | Lisa Marie Newton-klucevek, DO 9450 Sw Barnes Rd Ste 100, Portland, OR 97225-6642 Ph: (503) 292-9560 |
Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940 | |
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 | |
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405 | |
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700 | |
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249 | |
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480 | |
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779 |