Ms Gabriela Luciana Lilly, MD | |
3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | |
(410) 933-6423 | |
Not Available |
Full Name | Ms Gabriela Luciana Lilly |
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Gender | Female |
Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
Location | 3181 Sw Sam Jackson Park Rd, 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 |
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1801391552 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | MD221628 (Oregon) | Primary |
207Y00000X | Otolaryngology | D97956 (Maryland) | Secondary |
Entity Name | Johns Hopkins University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
Mailing Address | Practice Location Address |
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Ms Gabriela Luciana Lilly, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (410) 933-6423 | Ms Gabriela Luciana Lilly, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (410) 933-6423 |
David Wei Kuo Lin, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227 Phone: 503-331-6085 | |
Zipei Feng, MD, PHD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Mr. Michael Lee Mcdonald, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10101 Se Main St, # 2004, Portland, OR 97216 Phone: 503-257-3204 Fax: 503-255-7208 | |
Dr. Duane Allen Lundeberg, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210 Phone: 503-229-8455 Fax: 503-229-7028 | |
Brian Jacob Stater, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
Dr. Edsel Uisuk Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 | |
James Isaac Cohen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Pv-01, Portland, OR 97239 Phone: 503-494-5355 Fax: 503-494-4631 |