Peter Josef St George, DO | |
16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 | |
(503) 582-4900 | |
Not Available |
Full Name | Peter Josef St George |
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Gender | Male |
Speciality | Family Medicine |
Location | 16180 Se Sunnyside Rd Ste 102, Happy Valley, 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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1184206088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | DO219866 (Oregon) | Primary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
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Peter Josef St George, DO Po Box 3158, Portland, OR 97208-3158 Ph: () - | Peter Josef St George, DO 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015-6302 Ph: (503) 582-4900 |
Mhairi Ann Mcfarlane, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Elizabeth D. Orth, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Alan Craig Thom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086 Phone: 503-239-7030 | |
Kevin J Grainger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd Ste 102, Happy Valley, OR 97015 Phone: 503-582-4900 | |
Tetyana O Odarich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9300 Se 91st Ave Ste 201, Happy Valley, OR 97086 Phone: 503-387-7111 Fax: 503-576-7706 | |
Jeffrey P Pavelka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16180 Se Sunnyside Rd, Suite 102, Happy Valley, OR 97015 Phone: 503-582-4900 |