Ppm Oregon Llc in Portland, OR - Medicare Clinic/Center

Ppm Oregon Llc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Portland, Oregon. The current practice location for Ppm Oregon Llc is 7515 Ne Ambassador Pl Ste C, Portland, Oregon. For appointments, you can reach them via phone at (888) 253-6598. The mailing address for Ppm Oregon Llc is 1675 E Riverside Dr Ste 200, Eagle, Idaho and phone number is () -.

Ppm Oregon Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1891434528. 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 (888) 253-6598.

Contact Information

	Ppm Oregon Llc
	7515 Ne Ambassador Pl Ste C Portland OR 97220-1379
	(888) 253-6598
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Ppm Oregon Llc
Speciality	Clinic/Center
Location	7515 Ne Ambassador Pl Ste C, Portland, Oregon
Authorized Official Name and Position	Lee Johnson (TREASURER)
Authorized Official Contact	2084011369
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ppm Oregon Llc 1675 E Riverside Dr Ste 200 Eagle ID 83616-7473 Ph: () -	Ppm Oregon Llc 7515 Ne Ambassador Pl Ste C Portland OR 97220-1379 Ph: (888) 253-6598

NPI Details:

NPI Number	1891434528
Provider Enumeration Date	06/01/2022
Last Update Date	06/01/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	3476939265
Medicare Enrollment ID	O20220930002918

Medical Identifiers

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

Identifier	Type	State	Issuer
1891434528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Medicare Reassignments

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

Provider Name	Viktoriya Dimaku
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1619404316 PECOS PAC ID: 6002189347 Enrollment ID: I20170907002231

Reviews and Comments

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Ppm Oregon Llc - Medicare Primary Care in Portland, OR