Cascadia Behavioral Healthcare, Inc. | |
847 Ne 19th Portland OR 97232-2202 | |
(503) 238-0769 | |
(503) 552-6208 |
Full Name | Cascadia Behavioral Healthcare, Inc. |
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Speciality | Clinic/Center |
Location | 847 Ne 19th, Portland, Oregon |
Authorized Official Name and Position | Heather J Mcalpine (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5032380769 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cascadia Behavioral Healthcare, Inc. Po Box 8459 Portland OR 97207-8459 Ph: (503) 238-0769 | Cascadia Behavioral Healthcare, Inc. 847 Ne 19th Portland OR 97232-2202 Ph: (503) 238-0769 |
NPI Number | 1336196401 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 07/26/2022 |
Medicare PECOS PAC ID | 7618873761 |
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Medicare Enrollment ID | O20031209000991 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336196401 | NPI | - | NPPES |
226398 | Medicaid | OR | |
223347 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Mary F Kautzer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932117066 PECOS PAC ID: 1355335530 Enrollment ID: I20040412000546 |
Provider Name | Neil A Falk |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1770532509 PECOS PAC ID: 5395714471 Enrollment ID: I20040927000181 |
Provider Name | James Conour |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1174679617 PECOS PAC ID: 1355368457 Enrollment ID: I20051027001189 |
Provider Name | Kathryn A Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669542262 PECOS PAC ID: 0648349407 Enrollment ID: I20080520000139 |
Provider Name | Cassandra Stell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598951501 PECOS PAC ID: 7113095035 Enrollment ID: I20081006000313 |
Provider Name | Owen T Lynch |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1568588630 PECOS PAC ID: 0143369900 Enrollment ID: I20091208000382 |
Provider Name | Marika D Wolfe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992966311 PECOS PAC ID: 7517139223 Enrollment ID: I20110930000203 |
Provider Name | April Sweeney |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1427293976 PECOS PAC ID: 6800062217 Enrollment ID: I20120106000571 |
Provider Name | Bukhosi B Dube |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619132891 PECOS PAC ID: 6507029147 Enrollment ID: I20120518000323 |
Provider Name | Eva A Sripada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871865311 PECOS PAC ID: 2961668066 Enrollment ID: I20120717000677 |
Provider Name | Violet Lakeland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417261066 PECOS PAC ID: 1153575402 Enrollment ID: I20130214000110 |
Provider Name | Daniela Letz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184785727 PECOS PAC ID: 1355588526 Enrollment ID: I20130507000192 |
Provider Name | Matthew R Conley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023357449 PECOS PAC ID: 2961641360 Enrollment ID: I20130614000630 |
Provider Name | Reed Saul Epstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346496874 PECOS PAC ID: 9133308695 Enrollment ID: I20130809000388 |
Provider Name | Sara M Dryden |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649451766 PECOS PAC ID: 9638396039 Enrollment ID: I20140808000003 |
Provider Name | Sarah L Roff |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275824401 PECOS PAC ID: 9739401647 Enrollment ID: I20141204000292 |
Provider Name | Tracy Winn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568876399 PECOS PAC ID: 9638470198 Enrollment ID: I20151229001204 |
Provider Name | April D Urquidez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649685595 PECOS PAC ID: 4385860253 Enrollment ID: I20160725000840 |
Provider Name | Leigh Anne Bressler |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1487910279 PECOS PAC ID: 2668627159 Enrollment ID: I20160816002409 |
Provider Name | Megan L Brown |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972892495 PECOS PAC ID: 3779738323 Enrollment ID: I20160829002487 |
Provider Name | Sarah J Notton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194065250 PECOS PAC ID: 7315232394 Enrollment ID: I20160830001680 |
Provider Name | Suresh Chand |
---|---|
Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1922386614 PECOS PAC ID: 8921394891 Enrollment ID: I20160901002534 |
Provider Name | Kathleen Ofarrell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013213727 PECOS PAC ID: 2062793003 Enrollment ID: I20170105000308 |
Provider Name | Michelle Simmons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447644349 PECOS PAC ID: 9739455783 Enrollment ID: I20171019001405 |
Provider Name | Alexandra Leichter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043500283 PECOS PAC ID: 1850650227 Enrollment ID: I20180109003483 |
Provider Name | Mollie Gardner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639625205 PECOS PAC ID: 6709140247 Enrollment ID: I20180508002527 |
Provider Name | Amelia Sarah Evans |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508092180 PECOS PAC ID: 3274888235 Enrollment ID: I20180614001636 |
Provider Name | Daniel E Roa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801266119 PECOS PAC ID: 1951665918 Enrollment ID: I20180711001954 |
Provider Name | Cheryl L Goluch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164899258 PECOS PAC ID: 2163798935 Enrollment ID: I20180821003373 |
Provider Name | Nicole Mcknight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407165756 PECOS PAC ID: 2163617366 Enrollment ID: I20180911000853 |
Provider Name | Leah Bloomberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346782117 PECOS PAC ID: 4880947324 Enrollment ID: I20181030001488 |
Provider Name | Dana M Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356779854 PECOS PAC ID: 2567706476 Enrollment ID: I20181204001924 |
Provider Name | Elisha Diane Codding |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881079630 PECOS PAC ID: 3779829932 Enrollment ID: I20190108003523 |
Provider Name | Corey Elizabeth Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083078265 PECOS PAC ID: 1759679392 Enrollment ID: I20190409000375 |
Provider Name | Charles Blackmar |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194925461 PECOS PAC ID: 0244564177 Enrollment ID: I20190627000341 |
Provider Name | Elizabeth Marie Farrell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134637853 PECOS PAC ID: 9638404221 Enrollment ID: I20190718003191 |
Provider Name | Peter Vuky |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295793255 PECOS PAC ID: 6608104039 Enrollment ID: I20190823000256 |
Provider Name | Maija Liisa Shogren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376983239 PECOS PAC ID: 1052743887 Enrollment ID: I20191118000860 |
Provider Name | Berhanu Bedassa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093260622 PECOS PAC ID: 8527346543 Enrollment ID: I20191203000418 |
Provider Name | Elizabeth A Harris |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871727446 PECOS PAC ID: 8224462502 Enrollment ID: I20191219000020 |
Provider Name | Brandon H Larsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730532573 PECOS PAC ID: 0941587208 Enrollment ID: I20200113002602 |
Provider Name | Temitayo M Olagbemi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124545645 PECOS PAC ID: 4082040290 Enrollment ID: I20200220001980 |
Provider Name | Claire E Dufala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700253515 PECOS PAC ID: 5890122139 Enrollment ID: I20200225002699 |
Provider Name | Kristin A Erickson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629691399 PECOS PAC ID: 2860813276 Enrollment ID: I20200610001256 |
Provider Name | Elizabeth Michelle Morgan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033583919 PECOS PAC ID: 0446674196 Enrollment ID: I20200728001465 |
Provider Name | Larissa M Brodsky |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578090197 PECOS PAC ID: 8820366651 Enrollment ID: I20200813000104 |
Provider Name | Allison D Lea |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104278449 PECOS PAC ID: 2163841768 Enrollment ID: I20201001000603 |
Provider Name | Cassandra Dee Gemelli |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548316813 PECOS PAC ID: 3577976224 Enrollment ID: I20210119002044 |
Provider Name | Pamela Self |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851742175 PECOS PAC ID: 4284048422 Enrollment ID: I20210128002227 |
Provider Name | Doris Okoli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033733027 PECOS PAC ID: 8729493952 Enrollment ID: I20210219001453 |
Provider Name | Kristin Molina |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215599303 PECOS PAC ID: 4587098926 Enrollment ID: I20210830001550 |
Provider Name | Noel Marie Sicat |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255904223 PECOS PAC ID: 4082011267 Enrollment ID: I20210930003110 |
Provider Name | Christina Stair Keener |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467513077 PECOS PAC ID: 6204819980 Enrollment ID: I20211208003275 |
Provider Name | Megan Rose Leon Guerrero |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013434083 PECOS PAC ID: 7810388337 Enrollment ID: I20211216002604 |
Provider Name | Jesse Kern |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467827139 PECOS PAC ID: 6204257785 Enrollment ID: I20211230001722 |
Provider Name | Rhonda Adams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598152282 PECOS PAC ID: 6406241744 Enrollment ID: I20220323000826 |
Provider Name | Madison Hefner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699323303 PECOS PAC ID: 6305225863 Enrollment ID: I20220614001817 |
Provider Name | Misha Hardison Love |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356974984 PECOS PAC ID: 7810376746 Enrollment ID: I20220622003283 |
Provider Name | Daniel Steckler |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134556806 PECOS PAC ID: 9133501679 Enrollment ID: I20220801001539 |
Provider Name | Christopher Pexton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861808073 PECOS PAC ID: 3577881408 Enrollment ID: I20220908002199 |
Provider Name | Lakesha Francis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235691445 PECOS PAC ID: 6901132596 Enrollment ID: I20220929003843 |
Provider Name | Jessica Erin Marcello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689283947 PECOS PAC ID: 6800272303 Enrollment ID: I20221006003298 |
Provider Name | William Kelly Mcbride |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669194254 PECOS PAC ID: 0941686323 Enrollment ID: I20221008000459 |
Provider Name | Meghan Cartwright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346858115 PECOS PAC ID: 7517333636 Enrollment ID: I20221014001094 |
Provider Name | Madeleine Rose Potter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083379804 PECOS PAC ID: 3476922659 Enrollment ID: I20221209001401 |
Provider Name | Leah C Weinstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053773283 PECOS PAC ID: 3274869706 Enrollment ID: I20221222002876 |
Provider Name | Zachariah Omar Adham |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1588290431 PECOS PAC ID: 9234552670 Enrollment ID: I20230302002283 |
Provider Name | Gabriela Perkins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053883819 PECOS PAC ID: 9436579513 Enrollment ID: I20230405002744 |
Provider Name | Shelby L Hazel |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1831602994 PECOS PAC ID: 4082079942 Enrollment ID: I20230427001491 |
Provider Name | Tihana Sladic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184231805 PECOS PAC ID: 6002226214 Enrollment ID: I20230601001363 |
Provider Name | Amy Busiek |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558819094 PECOS PAC ID: 5698132819 Enrollment ID: I20230602002615 |
Provider Name | Dominick Charles Allen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205267838 PECOS PAC ID: 7719346840 Enrollment ID: I20230706003567 |
Provider Name | Jia Guo |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1508443235 PECOS PAC ID: 3173927225 Enrollment ID: I20230719004274 |
Provider Name | Dominique A Price |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1407106131 PECOS PAC ID: 5092179002 Enrollment ID: I20230908003337 |
Provider Name | Carlos N Hernandez Torres |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871723171 PECOS PAC ID: 8820253693 Enrollment ID: I20230915002301 |
Provider Name | Jaclyn Torre Najera |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588090492 PECOS PAC ID: 8729433255 Enrollment ID: I20231018001491 |
Provider Name | William Timothy Dudley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235502238 PECOS PAC ID: 9234436296 Enrollment ID: I20231110001204 |
Provider Name | Nancy Jelimo Tallam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518615582 PECOS PAC ID: 8729439609 Enrollment ID: I20240104002144 |
Provider Name | Gina Guillaume |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649705682 PECOS PAC ID: 2961831060 Enrollment ID: I20240124001618 |
Provider Name | Erick Howard Turner |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467538074 PECOS PAC ID: 5395180509 Enrollment ID: I20240227004580 |
Provider Name | Elizabeth Ann Lear |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093739773 PECOS PAC ID: 6002253192 Enrollment ID: I20240325003510 |
Provider Name | Sara Cooke Mannino |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487928073 PECOS PAC ID: 0143668970 Enrollment ID: I20240329000948 |
Provider Name | Daina Worcester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275099152 PECOS PAC ID: 5597006957 Enrollment ID: I20240329002739 |
Provider Name | Jenny Brosi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134717762 PECOS PAC ID: 3971982315 Enrollment ID: I20240404003655 |
Provider Name | Michele Ann Johns |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1659407195 PECOS PAC ID: 2668811746 Enrollment ID: I20240423000641 |
Provider Name | Jacquiline Mugure Kariuki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629722848 PECOS PAC ID: 9436599057 Enrollment ID: I20240430002978 |
Provider Name | Essence E Welck |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1508414210 PECOS PAC ID: 9234579384 Enrollment ID: I20240506004724 |
Provider Name | Travis R Tiede |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962269332 PECOS PAC ID: 8820439672 Enrollment ID: I20240511000246 |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
The Wellness Center Pdx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 | |
Providence Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Interstate Medical Office West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Cascadia Behavioral Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514 |