<unavail> in Portland, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Portland, Oregon. The current practice location for is 15 N Morris St, Portland, Oregon. For appointments, you can reach them via phone at (503) 445-7699. The mailing address for is 520 Nw Davis St Ste 215, Portland, Oregon and phone number is (503) 223-5907.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336902394. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (503) 445-7699.

Contact Information


	15 N Morris St Portland OR 97227-1541
	(503) 445-7699
	(503) 802-0199

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	15 N Morris St, Portland, Oregon
Authorized Official Name and Position	Jessica Loraine Cole (SNR DIR COMPLIANCE & RISK MANAGEMEN)
Authorized Official Contact	5032783813
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
520 Nw Davis St Ste 215 Portland OR 97209-3620 Ph: (503) 223-5907	15 N Morris St Portland OR 97227-1541 Ph: (503) 445-7699

NPI Details:

NPI Number	1336902394
Provider Enumeration Date	02/02/2024
Last Update Date	10/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8729363502
Medicare Enrollment ID	O20241009000602

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336902394	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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- Medicare Primary Care in Portland, OR