| Oceanic Health Group Llc | |
|
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 | |
| (612) 423-3606 | |
| Not Available |
| Full Name | Oceanic Health Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1500 Nw Bethany Blvd Ste 200, Beaverton, Oregon |
| Authorized Official Name and Position | Paul Nyabero Obino (FOUNDER) |
| Authorized Official Contact | 6124233606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oceanic Health Group Llc 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (612) 423-3606 | Oceanic Health Group Llc 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (612) 423-3606 |
| NPI Number | 1275362451 |
|---|---|
| Provider Enumeration Date | 07/29/2024 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/28/2024 |
| Medicare PECOS PAC ID | 4789125014 |
|---|---|
| Medicare Enrollment ID | O20240926000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275362451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Paul Nyabero Obino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619757820 PECOS PAC ID: 6507307832 Enrollment ID: I20240926000755 |
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