Douglas Raymond Lyon, MD | |
24461 E Welches Rd, Welches, OR 97067-7067 | |
(971) 333-0494 | |
Not Available |
Full Name | Douglas Raymond Lyon |
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Gender | Male |
Speciality | Family Medicine |
Location | 24461 E Welches Rd, Welches, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700033925 | NPI | - | NPPES |
150879 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 364110-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | MD18316 (Oregon) | Primary |
Entity Name | Multnomah County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609914787 PECOS PAC ID: 6608771787 Enrollment ID: O20031203000025 |
Entity Name | Virginia Garcia Memorial Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679528012 PECOS PAC ID: 7113823881 Enrollment ID: O20031211000992 |
Entity Name | Orchid Oakridge Clinic Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588088983 PECOS PAC ID: 3476786609 Enrollment ID: O20140612000318 |
Mailing Address | Practice Location Address |
---|---|
Douglas Raymond Lyon, MD Po Box 729, Welches, OR 97067-0729 Ph: (971) 333-0494 | Douglas Raymond Lyon, MD 24461 E Welches Rd, Welches, OR 97067-7067 Ph: (971) 333-0494 |
Andrew David White, PA-S Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24461 E Welches Rd, Welches, OR 97067 Phone: 971-333-0494 |