Unknown Individual – Urology Physician, NPI 1306848106
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
975, Southeast Sandy Boulevard, Central Eastside, Buckman, Portland, Metro, Multnomah County, Oregon, 97214, United States
SUITE 200
PORTLAND, OR 972141308
Phone: (503) 963-2846
Fax: (503) 963-9505
Type: Mailing
5050, Northeast Hoyt Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States
SUITE 514
PORTLAND, OR 972132991
Phone: (503) 215-2399
Fax: (503) 215-2376
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 97214)
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