<unavail> in Portland, OR - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine - Sports Medicine) in Portland, Oregon. The current practice location for is 2222 Nw Lovejoy St, Ste 522, Portland, Oregon. For appointments, you can reach them via phone at (971) 302-7084. The mailing address for is 3439 Ne Sandy Blvd, #234, Portland, Oregon and phone number is (971) 302-7084.

is licensed to practice in Oregon (license number DO28084). The clinic also participates in the medicare program and its NPI number is 1447705801. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (971) 302-7084.

Contact Information


	2222 Nw Lovejoy St Ste 522 Portland OR 97210-3033
	(971) 302-7084
	(503) 286-7939

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	2222 Nw Lovejoy St, Portland, Oregon
Authorized Official Name and Position	Paul W Johnson (OWNER)
Authorized Official Contact	9713027084
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3439 Ne Sandy Blvd #234 Portland OR 97232-1959 Ph: (971) 302-7084	2222 Nw Lovejoy St Ste 522 Portland OR 97210-3033 Ph: (971) 302-7084

NPI Details:

NPI Number	1447705801
Provider Enumeration Date	08/16/2016
Last Update Date	10/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3274820691
Medicare Enrollment ID	O20160928000824

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447705801	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0010X	Internal Medicine - Sports Medicine	DO28084 (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Paul W Johnson
Provider Type	Practitioner - Osteopathic Manipulative Medicine
Provider Identifiers	NPI Number: 1689785925 PECOS PAC ID: 2264431873 Enrollment ID: I20110830000103

Reviews and Comments

Internal Medicine in Portland, OR

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- Medicare Primary Care in Portland, OR