| Westside Internal Medicine | |
|
9155 Sw Barnes Rd Ste 205 Portland OR 97225-6625 | |
| (503) 297-5581 | |
| (503) 297-1421 |
| Full Name | Westside Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 9155 Sw Barnes Rd, Portland, Oregon |
| Authorized Official Name and Position | Todd A Hochenedel (PRESIDENT) |
| Authorized Official Contact | 5032975581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westside Internal Medicine 9155 Sw Barnes Rd Ste 230 Portland OR 97225-6625 Ph: (503) 445-3235 | Westside Internal Medicine 9155 Sw Barnes Rd Ste 205 Portland OR 97225-6625 Ph: (503) 297-5581 |
| NPI Number | 1407932098 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407932098 | NPI | - | NPPES |
| 003335 | Other | OR | REGENCE BLUE CROSS OF OR |
| 287766 | Medicaid | OR | |
| CT1677 | Other | OR | RAILROAD MEDICARE/PALMETT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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