Unknown Individual – Interventional Cardiology Physician, NPI 1184799959
Interventional Cardiology Physician
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Doctor Profile
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3777, Southeast Naef Road, Concord, Portland, Metro, Clackamas County, Oregon, 97267, United States
PORTLAND, OR 972083777
Phone: (503) 413-3900
Fax: (503) 413-3710
Type: Mailing
Northwest 167th Place, Triple Creek, Five Oaks/Triple Creek, Beaverton, Washington County, Oregon, 97207, United States
BEAVERTON, OR 97006
Phone: (503) 413-7162
Fax: (503) 672-6131
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OR | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 39 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | OR | |
| Vascular Surgery, General Surgery | OR | |
| Physician Assistant | OR | |
| Internal Medicine | OR | |
| Critical Care (Intensivists) | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | OR | |
| Nurse Practitioner | OR | |
| - | OR |
Reviews
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