Mr Barry N Davis, DO | |
12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 | |
(503) 659-4988 | |
(503) 698-4018 |
Full Name | Mr Barry N Davis |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 12360 Se Sunnyside Rd, Clackamas, 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 |
---|---|---|---|
1356324842 | NPI | - | NPPES |
080111539 | Other | OR | RR MEDICARE |
054911 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO18093 (Oregon) | Primary |
207V00000X | Obstetrics & Gynecology | DO18093 (Oregon) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Serenity Hospice | Tigard, OR | Hospice |
Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwest Primary Care Group Pc | 0244125052 | 43 |
Entity Name | Northwest Primary Care Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144319658 PECOS PAC ID: 0244125052 Enrollment ID: O20040219000947 |
Mailing Address | Practice Location Address |
---|---|
Mr Barry N Davis, DO Po Box 22075, Milwaukie, OR 97269-2075 Ph: (503) 659-4777 | Mr Barry N Davis, DO 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 Ph: (503) 659-4988 |
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 |