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

is a medicare enrolled primary clinic (Clinic/center) in Portland, Oregon. The current practice location for is 5211 Ne Glisan St Bldg C, Portland, Oregon. For appointments, you can reach them via phone at (503) 215-6628. The mailing address for is 5211 Ne Glisan St Bldg C, Portland, Oregon and phone number is (503) 215-6628.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003319724. 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) 215-6628.

Contact Information


	5211 Ne Glisan St Bldg C Portland OR 97213-3052
	(503) 215-6628
	(503) 215-6240

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	5211 Ne Glisan St Bldg C, Portland, Oregon
Authorized Official Name and Position	Donald Wayne Anderson (ASST SECRETARY ENROLLMENT)
Authorized Official Contact	4255255392
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5211 Ne Glisan St Bldg C Portland OR 97213-3052 Ph: (503) 215-6628	5211 Ne Glisan St Bldg C Portland OR 97213-3052 Ph: (503) 215-6628

NPI Details:

NPI Number	1003319724
Provider Enumeration Date	03/09/2018
Last Update Date	03/09/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	0648183608
Medicare Enrollment ID	O20180621000031

Medical Identifiers

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

Identifier	Type	State	Issuer
1003319724	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Portland, OR

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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
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- Medicare Primary Care in Portland, OR