Michael David Lifson, DO | |
831 Nw Council Dr Ste 125, Gresham, OR 97030-3794 | |
(503) 665-8176 | |
(503) 665-8178 |
Full Name | Michael David Lifson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 831 Nw Council Dr Ste 125, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285196725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 125.073621 (Illinois) | Secondary |
207Q00000X | Family Medicine | DO213666 (Oregon) | Primary |
Entity Name | Kingman Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265423917 PECOS PAC ID: 6901791367 Enrollment ID: O20040216001173 |
Mailing Address | Practice Location Address |
---|---|
Michael David Lifson, DO 7447 W Talcott Ave Ste 182, Chicago, IL 60631-3712 Ph: () - | Michael David Lifson, DO 831 Nw Council Dr Ste 125, Gresham, OR 97030-3794 Ph: (503) 665-8176 |
Dr. Paul E Vanbredavriesman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18000 Se Stark Street, Gresham, OR 97233 Phone: 503-255-4243 Fax: 503-255-4243 | |
Dr. Joseph Mark Eisenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Ne 8th St, 3rd Floor, East County Health Center, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Gordon Paul Canzler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Ne Roberts Ave, Gresham, OR 97030 Phone: 503-665-9144 Fax: 503-665-6404 | |
Caroline Chase Adams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9525 | |
Paul Podett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030 Phone: 503-665-1010 Fax: 503-665-1023 | |
Svetlana Taycher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr, Suite 125, Gresham, OR 97030 Phone: 503-661-3439 Fax: 503-669-1360 | |
Lam L Le, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 25500 Se Stark St Ste 102, Gresham, OR 97030 Phone: 503-492-1327 |