Michael Northrop, MD | |
2801 N Gantenbein Ave, Portland, OR 97227-1623 | |
(503) 413-8407 | |
Not Available |
Full Name | Michael Northrop |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 10 Years |
Location | 2801 N Gantenbein Ave, Portland, 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 |
---|---|---|---|
1235557182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD193585 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Michael Northrop, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 484-4244 | Michael Northrop, MD 2801 N Gantenbein Ave, Portland, OR 97227-1623 Ph: (503) 413-8407 |
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