David L Davis-boozer, MD | |
29345 Sw Town Center Loop E Ste 110, Wilsonville, OR 97070-8486 | |
(503) 582-2100 | |
Not Available |
Full Name | David L Davis-boozer |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 29345 Sw Town Center Loop E Ste 110, Wilsonville, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912330861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD203716 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Home Health | Portland, OR | Home health agency |
Providence Newberg Medical Center | Newberg, OR | Hospital |
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Institute | 5991609737 | 290 |
Entity Name | Providence Medical Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910 |
Mailing Address | Practice Location Address |
---|---|
David L Davis-boozer, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | David L Davis-boozer, MD 29345 Sw Town Center Loop E Ste 110, Wilsonville, OR 97070-8486 Ph: (503) 582-2100 |
Dr. Jay Ajit Shah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29345 Sw Town Center Loop E Ste 110, Wilsonville, OR 97070 Phone: 503-582-2100 Fax: 503-582-2101 | |
Armasabille Navalon Ermita, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070 Phone: 503-582-2100 | |
Pompy Z Goswami, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070 Phone: 503-582-2100 Fax: 503-582-2101 | |
Dr. Terry L Davis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 29345 Sw Town Center Loop E, Suite 110, Wilsonville, OR 97070 Phone: 503-582-2100 |