Ryan Fairley, | |
1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 | |
(503) 413-7557 | |
Not Available |
Full Name | Ryan Fairley |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 10 Years |
Location | 1040 Nw 22nd Ave Ste 520, Portland, 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 |
---|---|---|---|
1144606229 | NPI | - | NPPES |
PENDING | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | DO197810 (Oregon) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
Riverside Tappahannock Hospital | Tappahannock, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcv Associated Physicians | 4385542117 | 1333 |
Entity Name | Mcv Associated Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
Mailing Address | Practice Location Address |
---|---|
Ryan Fairley, Po Box 3808, Portland, OR 97208-3808 Ph: () - | Ryan Fairley, 1040 Nw 22nd Ave Ste 520, Portland, OR 97210-3097 Ph: (503) 413-7557 |
Dr. Issac Robert Schwantes, MD Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Howard K. Song, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 Fax: 503-494-7829 | |
Dr. Giye Choe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7820 | |
Mr. Riyad Caradog Karmy-jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 125, Portland, OR 97227 Phone: 503-413-3714 Fax: 503-413-2061 | |
Dr. Julia Celeste Swanson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9427 Sw Barnes Rd, Suite 596, Portland, OR 97225 Phone: 503-216-8670 | |
Donald E Giles, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10000 Se Main St, Suite 316, Portland, OR 97216 Phone: 503-256-1575 Fax: 503-253-9848 | |
Bruce Mclaren Wolfe, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8372 |