| Dr Alison Marie Small, MD | |
| 3303 Sw Bond Ave, Portland, OR 97239-4501 | |
| (503) 418-3376 | |
| Not Available | 
| Full Name | Dr Alison Marie Small | 
|---|---|
| Gender | Female | 
| Speciality | Dermatology | 
| Location | 3303 Sw Bond Ave, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003176942 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | MD182444 (Oregon) | Primary | 
| Entity Name | Legacy Emanuel Hospital & Health Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 | 
| Entity Name | University Professional Services | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Alison Marie Small, MD 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-3376 | Dr Alison Marie Small, MD 3303 Sw Bond Ave, Portland, OR 97239-4501 Ph: (503) 418-3376 | 
| Milie Fang, DO Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239 Phone: 503-494-1375 | |
| Bert G Tavelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210 Phone: 503-223-1933 Fax: 503-223-1947 | |
| Natasha Fewkes Carter, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4914 Sw 1st Ave, Portland, OR 97239 Phone: 310-701-8274 | |
| Dr. Samuel Fritz Bremmer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 | |
| Oluwadamilare Olalekan Ajayi, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-418-3376 Fax: 503-494-6968 | |
| Diane Romayne Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223 Phone: 503-471-0500 Fax: 503-471-0504 |