Dr Janson L Holm, DPM | |
800 Sw 13th Ave, Portland, OR 97205-1902 | |
(503) 221-0161 | |
(503) 274-1697 |
Full Name | Dr Janson L Holm |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 15 Years |
Location | 800 Sw 13th Ave, 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 |
---|---|---|---|
1780827279 | NPI | - | NPPES |
MD159519 | Other | OR | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | DP159519 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portland Clinic | 8224942867 | 99 |
Provider Name | Portland Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558379099 PECOS PAC ID: 8224942867 Enrollment ID: O20031118000101 |
Mailing Address | Practice Location Address |
---|---|
Dr Janson L Holm, DPM 800 Sw 13th Ave, Portland, OR 97205-1902 Ph: (503) 221-0161 | Dr Janson L Holm, DPM 800 Sw 13th Ave, Portland, OR 97205-1902 Ph: (503) 221-0161 |
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