Mr Keyvan Abtin, MD | |
527 Se Baseline St, # G, Hillsboro, OR 97123-4149 | |
(503) 924-2444 | |
(503) 924-2804 |
Full Name | Mr Keyvan Abtin |
---|---|
Gender | Male |
Speciality | Neurological Surgery |
Location | 527 Se Baseline St, Hillsboro, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871503862 | NPI | - | NPPES |
288527 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | MD22399 (Oregon) | Primary |
Entity Name | Legacy Emanuel Hospital & Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
Mailing Address | Practice Location Address |
---|---|
Mr Keyvan Abtin, MD Po Box 10605, Eugene, OR 97440-2605 Ph: () - | Mr Keyvan Abtin, MD 527 Se Baseline St, # G, Hillsboro, OR 97123-4149 Ph: (503) 924-2444 |
Dr. Fred C Williams Jr., M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 Ne 48th Ave, Ste 1100, Hillsboro, OR 97124 Phone: 503-844-8219 | |
David Mazur-hart, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 7th Avenue Medical Plaza, 333 Se 7th Ave., Suite 4350, Hillsboro, OR 97123 Phone: 503-844-8220 | |
Alexa Ladiges, PA-C Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 333 Se 7th Ave Ste 4350, Hillsboro, OR 97123 Phone: 503-844-8220 Fax: 503-844-8321 |