| Woodstock Family Medicine | |
|
5536 Se Woodstock Blvd Portland OR 97206-6829 | |
| (503) 236-1830 | |
| (503) 236-1908 |
| Full Name | Woodstock Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 5536 Se Woodstock Blvd, Portland, Oregon |
| Authorized Official Name and Position | Jerrold L Snow (PHYSICIAN) |
| Authorized Official Contact | 5032361830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodstock Family Medicine 5536 Se Woodstock Blvd Portland OR 97206-6829 Ph: (503) 236-1830 | Woodstock Family Medicine 5536 Se Woodstock Blvd Portland OR 97206-6829 Ph: (503) 236-1830 |
| NPI Number | 1922276021 |
|---|---|
| Provider Enumeration Date | 02/12/2008 |
| Last Update Date | 09/25/2008 |
| Medicare PECOS PAC ID | 2062597404 |
|---|---|
| Medicare Enrollment ID | O20080311000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922276021 | NPI | - | NPPES |
| 033840 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D017285 (Oregon) | Primary |
| Provider Name | Jill M Shaw |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770576340 PECOS PAC ID: 4183632797 Enrollment ID: I20060323000349 |
| Provider Name | Samantha R Adkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790905164 PECOS PAC ID: 7214021641 Enrollment ID: I20070917000275 |
| Provider Name | Jerrold L Snow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053307645 PECOS PAC ID: 7810079472 Enrollment ID: I20080205000136 |
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 |