Oleg Maksimov, MD | |
689 Nw Burnside Rd Fl 2, Gresham, OR 97030-3739 | |
(503) 382-8106 | |
(503) 382-8100 |
Full Name | Oleg Maksimov |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 26 Years |
Location | 689 Nw Burnside Rd Fl 2, Gresham, 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 |
---|---|---|---|
1780796326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD431737 (Pennsylvania) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD28526 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Portland | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia Pain And Spine Institute | 2769738301 | 3 |
Entity Name | Columbia Pain And Spine Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972813962 PECOS PAC ID: 2769738301 Enrollment ID: O20180711003656 |
Mailing Address | Practice Location Address |
---|---|
Oleg Maksimov, MD 689 Nw Burnside Rd Fl 1, Gresham, OR 97030-3739 Ph: (503) 382-8106 | Oleg Maksimov, MD 689 Nw Burnside Rd Fl 2, Gresham, OR 97030-3739 Ph: (503) 382-8106 |
Kristen Erich, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444 | |
Dr. Howard Lee Grattan, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 689 Nw Burnside Rd, Gresham, OR 97030 Phone: 801-849-2622 Fax: 801-849-2622 |