Unknown Individual – Cardiovascular Disease Physician, NPI 1760487714
Cardiovascular Disease Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
300, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States
PORTLAND, OR 972322686
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
19260, Southwest 65th Avenue, Tualatin, Metro, Clackamas County, Oregon, 97062, United States
STE 420
TUALATIN, OR 970625712
Phone: (503) 692-0405
Fax: (503) 692-7978
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OR | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 116 | 106 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| G A S T R O E N T E R O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| G A S T R O E N T E R O L O G Y | OR | |
| U R O L O G Y | OR | |
| Physician Assistant | OR | |
| - | OR |
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