| Aura Theresa Bondoc De Olazo, MD | |
|
2725 Sw Cedar Hills Blvd Ste 250, Beaverton, OR 97005-1469 | |
| (503) 413-4060 | |
| Not Available |
| Full Name | Aura Theresa Bondoc De Olazo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 2725 Sw Cedar Hills Blvd Ste 250, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063738128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD150967 (Oregon) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Aura Theresa Bondoc De Olazo, MD 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030-8322 Ph: (503) 674-1580 | Aura Theresa Bondoc De Olazo, MD 2725 Sw Cedar Hills Blvd Ste 250, Beaverton, OR 97005-1469 Ph: (503) 413-4060 |
Cameron Miles Long, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11000 Sw Stratus St Ste 310, Beaverton, OR 97008 Phone: 503-297-3778 Fax: 503-297-7853 | |
Amanda Andersen, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-813-2000 | |
Mrs. Sarah Elizabeth Dunham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6800 Sw 105th Ave Ste 206, Beaverton, OR 97008 Phone: 503-430-1777 Fax: 503-372-5119 | |
Dr. Naga Praneeth Raja, M.D., Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 Sw Greystone Ct, Beaverton, OR 97006 Phone: 971-262-9000 Fax: 971-262-9010 | |
Chad T Pfefer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Nw Amberglen Pkwy, Ste 150, Beaverton, OR 97006 Phone: 971-327-4356 Fax: 971-327-4355 | |
David Alexander Kidd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11000 Sw Stratus St Ste 310, Beaverton, OR 97008 Phone: 503-297-3778 Fax: 503-297-7853 |