Mtn. View Family Practice, Pc | |
24900 Se Stark St Suite 205 Gresham OR 97030-3355 | |
(503) 665-1010 | |
(503) 665-1023 |
Full Name | Mtn. View Family Practice, Pc |
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Speciality | Family Medicine |
Location | 24900 Se Stark St, Gresham, Oregon |
Authorized Official Name and Position | Paul V Podett (PRESIDENT) |
Authorized Official Contact | 5036651010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mtn. View Family Practice, Pc 24900 Se Stark St Suite 205 Gresham OR 97030-3355 Ph: (503) 665-1010 | Mtn. View Family Practice, Pc 24900 Se Stark St Suite 205 Gresham OR 97030-3355 Ph: (503) 665-1010 |
NPI Number | 1861520991 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 03/25/2014 |
Medicare PECOS PAC ID | 6608841432 |
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Medicare Enrollment ID | O20040826000589 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861520991 | NPI | - | NPPES |
MD18120 | Other | OR | MD LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD18120 (Oregon) | Primary |
Provider Name | Paul V Podett |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1184783094 PECOS PAC ID: 7618880949 Enrollment ID: I20031111000847 |
Provider Name | Craig Steven Haggett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447672134 PECOS PAC ID: 6608232855 Enrollment ID: I20230515001410 |
Provider Name | Tenzin Tsering Lama |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477216950 PECOS PAC ID: 7214463223 Enrollment ID: I20241212004031 |
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