ADVENTIST HEALTH PORTLAND – Family Medicine Physician, NPI 1215910302
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ADVENTIST HEALTH PORTLAND
UHY Crossleys, Station Road, Ballasalla, Malew, Rushen, IM99 6AB, Isle of Man
PORTLAND, OR 972920900
Phone: (503) 251-6354
Type: Mailing
PO BOX 888918
LOS ANGELES, CA 900888918
Phone: (503) 261-6085
Type: Mailing
10000, Southeast Main Street, Russellville, Hazelwood, Portland, Metro, Multnomah County, Oregon, 97216, United States
SUITE 116
PORTLAND, OR 97216
Phone: (503) 251-6354
Fax: (503) 251-6286
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-26
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97292)
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