Antonio Bueso, MD | |
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(800) 813-2000 | |
Not Available |
Full Name | Antonio Bueso |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447306030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD156121 (Oregon) | Primary |
207P00000X | Emergency Medicine | P9815 (Texas) | Secondary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780647719 PECOS PAC ID: 6608056171 Enrollment ID: O20130123000079 |
Mailing Address | Practice Location Address |
---|---|
Antonio Bueso, MD 500 Ne Multnomah St Fl 11, Portland, OR 97232-2023 Ph: (800) 813-2000 | Antonio Bueso, MD 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (800) 813-2000 |
Megan Lea Kelly, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Kaiser Sunnyside Medical Center, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Nicholas Markham Leonard, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Alexander Marsh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Kaiser Permanente, Clackamas, OR 97015 Phone: 503-571-8488 | |
James Edward Wood, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Pamela Marie Johnson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
John Mullen, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Cameron D Klug, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-2000 |