Amer J Mirza, Md Pc | |
4103 Mercantile Dr Lake Oswego OR 97035 | |
(503) 850-9940 | |
(503) 850-6725 |
Full Name | Amer J Mirza, Md Pc |
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Speciality | Clinic/Center |
Location | 4103 Mercantile Dr, Lake Oswego, Oregon |
Authorized Official Name and Position | Kim K Guest (ADMINISTRATOR) |
Authorized Official Contact | 5038509940 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amer J Mirza, Md Pc 4103 Mercantile Dr Lake Oswego OR 97035-2556 Ph: (503) 850-9940 | Amer J Mirza, Md Pc 4103 Mercantile Dr Lake Oswego OR 97035 Ph: (503) 850-9940 |
NPI Number | 1982033494 |
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Provider Enumeration Date | 11/05/2013 |
Last Update Date | 08/09/2018 |
Medicare PECOS PAC ID | 0446474647 |
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Medicare Enrollment ID | O20140609001967 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982033494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | MD27789 (Oregon) | Primary |
Provider Name | Amer J Mirza |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1548296593 PECOS PAC ID: 1951306448 Enrollment ID: I20071001000024 |
Kristina E Harp M.d P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17704 Jean Way, Suite 105, Lake Oswego, OR 97035 Phone: 503-675-6776 Fax: 503-675-2572 | |
Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4823 Meadows Rd, Lake Oswego, OR 97035 Phone: 503-216-1580 | |
Kimberly J. Schleef D.o., Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Carman Dr, Lake Oswego, OR 97035 Phone: 503-635-6555 Fax: 503-635-6557 | |
Dr Pepel Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15880 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-232-3302 Fax: 503-200-2895 | |
Deni R Buss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14511 Westlake Dr, Suite 100, Lake Oswego, OR 97035 Phone: 503-449-6939 Fax: 503-598-3980 | |
Lake Oswego Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4035 Mercantile Dr, Suite 104, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
Kleiman Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 N State St Ste 136, Lake Oswego, OR 97034 Phone: 310-951-3450 |