| Camelia Mahmoudian, MD | |
|
4855 Sw Western Ave, Beaverton, OR 97005-3460 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Camelia Mahmoudian |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4855 Sw Western Ave, 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 |
|---|---|---|---|
| 1134689573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A179615 (California) | Secondary |
| 208000000X | Pediatrics | MD224628 (Oregon) | Primary |
| 208000000X | Pediatrics | MD70054169 (Washington) | Secondary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Camelia Mahmoudian, MD 500 Ne Multnomah St Ste 100, Portland, OR 97232-2031 Ph: (800) 813-2000 | Camelia Mahmoudian, MD 4855 Sw Western Ave, Beaverton, OR 97005-3460 Ph: (800) 813-2000 |
Douglas Joseph Hamill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 Sw Western Ave, Beaverton Medical Office, Beaverton, OR 97005 Phone: 503-643-7565 | |
Dr. Luanne Nilsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4855 Sw Western Ave, Beaverton, OR 97005 Phone: 503-643-7565 | |
Dean A Moshofsky, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006 Phone: 503-534-3434 Fax: 503-645-4544 | |
Heather M Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15455 Nw Greenbrier Pkwy, Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 Fax: 503-645-4544 | |
Thomas Jeffrey Anderson Ii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 Fax: 503-645-4544 | |
Cole Julius Nygard, Pediatrics Medicare: Medicare Enrolled Practice Location: 15455 Nw Greenbrier Pkwy Ste 111, Beaverton, OR 97006 Phone: 503-531-3434 |