Mai P Leopold, DO | |
10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | |
(503) 659-0880 | |
(503) 513-7425 |
Full Name | Mai P Leopold |
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Gender | Female |
Speciality | Family Medicine |
Location | 10151 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649234915 | NPI | - | NPPES |
060467 | Medicaid | OR | |
130904 | Other | WA | WA LABOR & INDUSTRIES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO12247 (Oregon) | Primary |
Entity Name | Portland Adventist Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131 |
Mailing Address | Practice Location Address |
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Mai P Leopold, DO Po Box 92900, Portland, OR 97292-0900 Ph: (503) 659-0880 | Mai P Leopold, DO 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 Ph: (503) 659-0880 |
Dr. Calvert John Shipley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 | |
Dr. Thorsten Lundsgaarde, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Lisa Burton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-652-2880 | |
Jon Peters, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425 | |
Carla Jean Bowman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8445 | |
Dr. Benjamin Jacob Colburn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-494-8211 | |
Guy Whitehead Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 |