| Portland Diabetes & Endocrinology Center, P C | |
|
9135 Sw Barnes Rd Ste 985 Portland OR 97225-6699 | |
| (503) 297-3336 | |
| (503) 297-3338 |
| Full Name | Portland Diabetes & Endocrinology Center, P C |
|---|---|
| Speciality | Internal Medicine |
| Location | 9135 Sw Barnes Rd Ste 985, Portland, Oregon |
| Authorized Official Name and Position | Richard W Bergstrom (PRESIDENT) |
| Authorized Official Contact | 5032744884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Diabetes & Endocrinology Center, P C 9135 Sw Barnes Rd Ste 985 Portland OR 97225-6699 Ph: (503) 297-3336 | Portland Diabetes & Endocrinology Center, P C 9135 Sw Barnes Rd Ste 985 Portland OR 97225-6699 Ph: (503) 297-3336 |
| NPI Number | 1942419569 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 10/14/2022 |
| Medicare PECOS PAC ID | 1557358769 |
|---|---|
| Medicare Enrollment ID | O20040429000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942419569 | NPI | - | NPPES |
| 151316 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (Oregon) | Primary |
| Provider Name | Jennifer L Murdoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891843397 PECOS PAC ID: 9638136724 Enrollment ID: I20041209001064 |
| Provider Name | Fawn M Wolf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689636557 PECOS PAC ID: 4486682028 Enrollment ID: I20050803000828 |
| Provider Name | Scott P Grady |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396893897 PECOS PAC ID: 4587746474 Enrollment ID: I20100122000370 |
| Provider Name | James Christopher Beard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053469569 PECOS PAC ID: 5799867677 Enrollment ID: I20100223000233 |
| Provider Name | Richard W Bergstrom |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326196841 PECOS PAC ID: 4880776764 Enrollment ID: I20100223000819 |
| Provider Name | James L Neifing |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437207941 PECOS PAC ID: 8426130303 Enrollment ID: I20100316000285 |
| Provider Name | Olga Sergeevna Senashova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578730438 PECOS PAC ID: 6901061670 Enrollment ID: I20120702000153 |
| Provider Name | Laurel Rae Zuberi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457395311 PECOS PAC ID: 0446268320 Enrollment ID: I20140729002869 |
| Provider Name | Amy J Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215302336 PECOS PAC ID: 9234434374 Enrollment ID: I20190627002100 |
| Provider Name | Radhika Chugh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427398247 PECOS PAC ID: 0941596555 Enrollment ID: I20200402000700 |
| Provider Name | Amy Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659733202 PECOS PAC ID: 8224385604 Enrollment ID: I20210720002391 |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
The Wellness Center Pdx Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1359 Ne 35th Avenue, Portland, OR 97232 Phone: 503-389-5545 | |
Providence Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Interstate Medical Office West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Cascadia Behavioral Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7511 Se Henry St, Portland, OR 97206 Phone: 503-771-6061 Fax: 503-771-7514 |