Matilda Martha Mengis, MD | |
412 Sw 12th Ave, Portland, OR 97205-2329 | |
(503) 228-7134 | |
(503) 273-8431 |
Full Name | Matilda Martha Mengis |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 412 Sw 12th Ave, 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 |
---|---|---|---|
1174690838 | NPI | - | NPPES |
286525 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G83302 (California) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD23525 (Oregon) | Primary |
Entity Name | New Narrative |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265595664 PECOS PAC ID: 6406759893 Enrollment ID: O20040202000276 |
Mailing Address | Practice Location Address |
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Matilda Martha Mengis, MD 2721 Sw Montgomery Dr, Portland, OR 97201-1692 Ph: (503) 936-2324 | Matilda Martha Mengis, MD 412 Sw 12th Ave, Portland, OR 97205-2329 Ph: (503) 228-7134 |
Mikel Matto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2214 Lloyd Ctr, Portland, OR 97232 Phone: 503-494-4222 Fax: 503-494-6143 | |
William James Hoppe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13303 Nw Springville Rd, Portland, OR 97229 Phone: 503-910-2664 | |
Dr. Robert Gene Mealer, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6176 Fax: 503-494-6152 | |
Karina Rae Espana, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Dr. David Morrison Douglas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-721-1440 | |
Margaret S Cary, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239 Phone: 503-418-5775 Fax: 503-418-5774 | |
Dr. Melissa Beth Buboltz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239 Phone: 503-494-8311 |