Mr Fred Hughes Coleman Iii, MD | |
300 N Graham St, Suite 100, Portland, OR 97227-1683 | |
(503) 413-1122 | |
(503) 413-1122 |
Full Name | Mr Fred Hughes Coleman Iii |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 300 N Graham St, 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 |
---|---|---|---|
1891760492 | NPI | - | NPPES |
288226 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | MD11018 (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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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 |
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Mr Fred Hughes Coleman Iii, MD 300 N Graham St, Suite 100, Portland, OR 97227-1683 Ph: (503) 413-1122 | Mr Fred Hughes Coleman Iii, MD 300 N Graham St, Suite 100, Portland, OR 97227-1683 Ph: (503) 413-1122 |
Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424 | |
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200 | |
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388 | |
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473 | |
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854 | |
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590 | |
Carolyn Marie Withee, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9135 Sw Barnes Rd Ste 761, Portland, OR 97225 Phone: 503-216-2602 |