Columbia View Family Health Center P C | |
2800 Sw 257th Ave. Troutdale OR 97060-1803 | |
(503) 667-7711 | |
(503) 669-9908 |
Full Name | Columbia View Family Health Center P C |
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Speciality | Family Medicine |
Location | 2800 Sw 257th Ave., Troutdale, Oregon |
Authorized Official Name and Position | Matthew J Daskalos (PRESIDENT / PHYSICIAN) |
Authorized Official Contact | 5036677711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Columbia View Family Health Center P C 2800 Sw 257th Ave. Troutdale OR 97060-1803 Ph: (503) 667-7711 | Columbia View Family Health Center P C 2800 Sw 257th Ave. Troutdale OR 97060-1803 Ph: (503) 667-7711 |
NPI Number | 1285741769 |
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Provider Enumeration Date | 08/23/2006 |
Last Update Date | 01/24/2023 |
Medicare PECOS PAC ID | 5193713683 |
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Medicare Enrollment ID | O20040504000379 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285741769 | NPI | - | NPPES |
024477000 | Other | REGENCE BLUE CROSS OF OR | |
001375 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO21257 (Oregon) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
Provider Name | Jennifer M Byrne |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023032919 PECOS PAC ID: 8022018688 Enrollment ID: I20070104000178 |
Provider Name | Harpreet K Dhillon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366556516 PECOS PAC ID: 8628078128 Enrollment ID: I20080925000545 |
Provider Name | Matthew James Daskalos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518070333 PECOS PAC ID: 7719987213 Enrollment ID: I20101108000256 |
Provider Name | Skyler A Stone |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134430770 PECOS PAC ID: 5890981302 Enrollment ID: I20130802000345 |
Provider Name | Dana M Davies |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265958607 PECOS PAC ID: 9133495732 Enrollment ID: I20171026001636 |
Provider Name | Kama T Lyons |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578948170 PECOS PAC ID: 5890039390 Enrollment ID: I20181211001603 |
Provider Name | Dallas U Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982210399 PECOS PAC ID: 8123448545 Enrollment ID: I20201022003992 |
Gresham Troutdale Family Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Sw 257th Ave, Troutdale, OR 97060 Phone: 503-491-2422 Fax: 503-491-2434 | |
Multnomah County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Sw Cherry Park Rd, Troutdale, OR 97060 Phone: 503-988-3340 Fax: 503-988-4464 | |
Mc Reynolds Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Sw Cherry Park Rd, Troutdale, OR 97060 Phone: 503-988-3340 |