| East Portland Medical Associates Llc | |
|
7524 Se Milwaukie Ave Portland OR 97202-6113 | |
| (503) 230-4811 | |
| (503) 249-1872 |
| Full Name | East Portland Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7524 Se Milwaukie Ave, Portland, Oregon |
| Authorized Official Name and Position | Bertram Berney (OWNER) |
| Authorized Official Contact | 5032304811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Portland Medical Associates Llc 7524 Se Milwaukie Ave Portland OR 97202-6113 Ph: (503) 230-4811 | East Portland Medical Associates Llc 7524 Se Milwaukie Ave Portland OR 97202-6113 Ph: (503) 230-4811 |
| NPI Number | 1922285238 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 1052384054 |
|---|---|
| Medicare Enrollment ID | O20040817001452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922285238 | NPI | - | NPPES |
| 110398 | Other | OR | MEDICARE GRP PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD16449 (Oregon) | Primary |
| Provider Name | Bertram W Berney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245455179 PECOS PAC ID: 9133193097 Enrollment ID: I20040825000899 |
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