<unavail> in Gresham, OR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Gresham, Oregon. The current practice location for is 4253 Se 182nd Ave, Gresham, Oregon. For appointments, you can reach them via phone at (503) 661-5090. The mailing address for is 4253 Se 182nd Ave, Gresham, Oregon and phone number is (503) 661-5090.

is licensed to practice in Oregon (license number 5545). The clinic also participates in the medicare program and its NPI number is 1831641505. 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 (503) 661-5090.

Contact Information


	4253 Se 182nd Ave Gresham OR 97030-5083
	(503) 661-5090
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4253 Se 182nd Ave, Gresham, Oregon
Authorized Official Name and Position	Michael Robert Whitaker (MEMBER)
Authorized Official Contact	5036615090
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4253 Se 182nd Ave Gresham OR 97030-5083 Ph: (503) 661-5090	4253 Se 182nd Ave Gresham OR 97030-5083 Ph: (503) 661-5090

NPI Details:

NPI Number	1831641505
Provider Enumeration Date	10/28/2016
Last Update Date	10/28/2016

Medicare PECOS Information:

Medicare PECOS PAC ID	6103107313
Medicare Enrollment ID	O20161230001167

Medical Identifiers

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

Identifier	Type	State	Issuer
1831641505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	5545 (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	Michael Whitaker
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1689097503 PECOS PAC ID: 7517247612 Enrollment ID: I20161230001234

Provider Name	David S Rief
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1255880316 PECOS PAC ID: 4688094691 Enrollment ID: I20201013002243

Provider Name	Meghan Trebilco
Provider Type	Practitioner - Chiropractic
Provider Identifiers	NPI Number: 1235882416 PECOS PAC ID: 2062807068 Enrollment ID: I20220309001368

Reviews and Comments

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- Medicare Primary Care in Gresham, OR