Accepts Medicare (pay less out of pocket)
Group Affiliations
Phone
(503) 215-9500
Specialty
Physician Assistant
Gender
M
Medical School
Other
Graduation Year
1999
Offers Telehealth Services
No
Accepts Medicare Assignment
Yes
Facility Type
Group
Group Name
PROVIDENCE HEALTH AND SERVICES OREGONMember Count
1321
Accepts Medicare Assignment
Y
Practice State: ID
Line Service Count: 26
Beneficiary Count: 26
440 Nw Division St
Gresham, OR 97030
-5506
Phone: (503)
215-9500
5050 Ne Hoyt
454 Providence Med Group
Portland, OR 97213
-2984
Phone: (503)
215-6405
5050 Ne Hoyt St
Suite 511
Portland, OR 97213
-2984
Phone: (503)
215-8580