Marlo L Mcilraith, MD | |
15220 Nw Laidlaw Rd Ste 100, Portland, OR 97229-7717 | |
(503) 418-2000 | |
Not Available |
Full Name | Marlo L Mcilraith |
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Gender | Female |
Speciality | Pediatrics |
Location | 15220 Nw Laidlaw Rd Ste 100, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407861909 | NPI | - | NPPES |
134289 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | MD22169 (Oregon) | Primary |
Entity Name | University Professional Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
Mailing Address | Practice Location Address |
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Marlo L Mcilraith, MD 15220 Nw Laidlaw Rd, Portland, OR 97229-7716 Ph: (503) 418-2415 | Marlo L Mcilraith, MD 15220 Nw Laidlaw Rd Ste 100, Portland, OR 97229-7717 Ph: (503) 418-2000 |
Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170 | |
Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211 | |
Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926 | |
Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600 | |
Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885 | |
George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787 | |
Dr. Amanda K Blockinger Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217 Phone: 503-595-9300 |