| Landmark Medical Of Oregon Pc | |
|
700 Ne Multnomah St Ste 400 Portland OR 97232-4104 | |
| (503) 420-5852 | |
| Not Available |
| Full Name | Landmark Medical Of Oregon Pc |
|---|---|
| Speciality | General Practice |
| Location | 700 Ne Multnomah St Ste 400, Portland, Oregon |
| Authorized Official Name and Position | Christopher Dennis (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6572372450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Landmark Medical Of Oregon Pc 7755 Center Ave #630 Huntington Beach CA 92647-3007 Ph: () - | Landmark Medical Of Oregon Pc 700 Ne Multnomah St Ste 400 Portland OR 97232-4104 Ph: (503) 420-5852 |
| NPI Number | 1750771762 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 1850618430 |
|---|---|
| Medicare Enrollment ID | O20150318002571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750771762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD170188 (Oregon) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cynthia B Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508383282 PECOS PAC ID: 7214297571 Enrollment ID: I20180205002667 |
| Provider Name | Anaidra Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104476423 PECOS PAC ID: 4587098959 Enrollment ID: I20220525001269 |
| Provider Name | Jodie Anne Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801467261 PECOS PAC ID: 8921406083 Enrollment ID: I20230515002894 |
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