| Douglas Raymond Lyon, MD | |
|
24461 E Welches Rd, Welches, OR 97067-7067 | |
| (971) 333-0494 | |
| Not Available |
| Full Name | Douglas Raymond Lyon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 24461 E Welches Rd, Welches, 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 |
|---|---|---|---|
| 1700033925 | NPI | - | NPPES |
| 150879 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 364110-1205 (Utah) | Secondary |
| 207Q00000X | Family Medicine | MD18316 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Adventist Health Portland | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orchid Oakridge Clinic Pc | 3476786609 | 24 |
| Entity Name | Multnomah County |
|---|---|
| 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 | |
Sara J Carey, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24461 E Welches Rd, Welches, OR 97067 Phone: 971-333-0494 |