| Nw Geriatrics | |
|
4838 Sw Scholls Ferry Rd Portland OR 97225-1629 | |
| (360) 260-8225 | |
| (360) 397-0189 |
| Full Name | Nw Geriatrics |
|---|---|
| Speciality | Family Medicine |
| Location | 4838 Sw Scholls Ferry Rd, Portland, Oregon |
| Authorized Official Name and Position | Janice L Spencer (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 3602608225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Geriatrics 8404 Ne 16th St Vancouver WA 98664-4078 Ph: (360) 260-8225 | Nw Geriatrics 4838 Sw Scholls Ferry Rd Portland OR 97225-1629 Ph: (360) 260-8225 |
| NPI Number | 1982774543 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426944422 |
|---|---|
| Medicare Enrollment ID | O20040226000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982774543 | NPI | - | NPPES |
| 287059 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD10273 (Oregon) | Primary |
| Provider Name | Harry Scott Krulewitch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598799553 PECOS PAC ID: 0143116152 Enrollment ID: I20110428000637 |
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