| Housecall Doc Llc | |
|
9601 Nw Leahy Rd Apt 306 Portland OR 97229-6385 | |
| (971) 258-0058 | |
| Not Available |
| Full Name | Housecall Doc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9601 Nw Leahy Rd Apt 306, Portland, Oregon |
| Authorized Official Name and Position | Yolanda Suarez (PHYSICIAN) |
| Authorized Official Contact | 6614003819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Housecall Doc Llc 9601 Nw Leahy Rd Apt 306 Portland OR 97229-6385 Ph: (661) 400-3819 | Housecall Doc Llc 9601 Nw Leahy Rd Apt 306 Portland OR 97229-6385 Ph: (971) 258-0058 |
| NPI Number | 1649989740 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Medicare PECOS PAC ID | 8426404948 |
|---|---|
| Medicare Enrollment ID | O20231019001779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649989740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Yolanda B Suarez |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1124126362 PECOS PAC ID: 4688658503 Enrollment ID: I20081021000211 |
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