| Ppm Oregon Llc | |
|
7515 Ne Ambassador Pl Ste C Portland OR 97220-1379 | |
| (888) 253-6598 | |
| Not Available |
| 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 | 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 Number | 1891434528 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 3476939265 |
|---|---|
| Medicare Enrollment ID | O20220930002918 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891434528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Denise M Viss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477927606 PECOS PAC ID: 8729380290 Enrollment ID: I20151230002036 |
| Provider Name | Viktoriya Dimaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619404316 PECOS PAC ID: 6002189347 Enrollment ID: I20170907002231 |
| Provider Name | Lori K Krayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922080357 PECOS PAC ID: 4981927795 Enrollment ID: I20190723001193 |
| Provider Name | Debra Pruyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710032081 PECOS PAC ID: 4385037001 Enrollment ID: I20220201002458 |
| Provider Name | Amber Steward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710698980 PECOS PAC ID: 9739551227 Enrollment ID: I20230209001453 |
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 |