| Karen Winchester, M.d., P.c. | |
|
7724 Sw 31st Ave Portland OR 97219-2420 | |
| (503) 239-7733 | |
| (503) 232-0193 |
| Full Name | Karen Winchester, M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7724 Sw 31st Ave, Portland, Oregon |
| Authorized Official Name and Position | Karen Winchester (PRESIDENT) |
| Authorized Official Contact | 5034753300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Winchester, M.d., P.c. 7724 Sw 31st Ave Portland OR 97219-2420 Ph: (503) 239-7733 | Karen Winchester, M.d., P.c. 7724 Sw 31st Ave Portland OR 97219-2420 Ph: (503) 239-7733 |
| NPI Number | 1669848495 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Medicare PECOS PAC ID | 2163722356 |
|---|---|
| Medicare Enrollment ID | O20151119000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669848495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD21043 (Oregon) | Primary |
| Provider Name | Karen Winchester |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265502397 PECOS PAC ID: 3779777917 Enrollment ID: I20101101001139 |
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