| Douglas R Niehus, MD | |
|
12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-3396 | |
| (503) 216-9200 | |
| (503) 216-9220 |
| Full Name | Douglas R Niehus |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 12442 Sw Scholls Ferry Rd, Tigard, 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 |
|---|---|---|---|
| 1144250085 | NPI | - | NPPES |
| 080577 | Medicaid | OR | |
| 080142088 | Other | OR | RR MEDICARE - PHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD19965 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas R Niehus, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Douglas R Niehus, MD 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-3396 Ph: (503) 216-9200 |
Jose Salvador Yalung De La Cruz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920 | |
Dr. Michael Shihjay Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-221-0161 Fax: 503-452-3200 | |
Daniel L Graham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920 | |
Nathan A Way, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, OR 97224 Phone: 503-216-0700 | |
Michele Nicolette Adamcak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556 | |
Jonathan Clark Crist, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 Fax: 503-297-9357 |