| Dr Brian Matthew Blair, MD | |
|
24900 Se Stark St Ste 103, Gresham, OR 97030 | |
| (503) 935-8088 | |
| Not Available |
| Full Name | Dr Brian Matthew Blair |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 13 Years |
| Location | 24900 Se Stark St Ste 103, Gresham, 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 |
|---|---|---|---|
| 1770826372 | NPI | - | NPPES |
| 500760980 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD191957 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Adventist Health Portland | Portland, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Oregon Clinic, Pc | 2860390408 | 324 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | The Oregon Clinic, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096 |
| 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 | Legacy Meridian Park Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181 |
| Entity Name | Legacy Mount Hood Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386919132 PECOS PAC ID: 3173515996 Enrollment ID: O20040401000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Matthew Blair, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801 | Dr Brian Matthew Blair, MD 24900 Se Stark St Ste 103, Gresham, OR 97030 Ph: (503) 935-8088 |
Dr. Audry Kang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 103, Gresham, OR 97030 Phone: 503-935-8088 Fax: 503-935-8082 | |
Kent C Toland, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 24076 Se Stark St Ste 310, Gresham, OR 97030 Phone: 503-492-6510 | |
Dr. Melanie Ann Crites-bachert, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 310, Gresham, OR 97030 Phone: 503-492-6510 Fax: 503-492-6502 | |
Dr. Shammai Rockove, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 310, Gresham, OR 97030 Phone: 503-492-6510 Fax: 503-492-6502 | |
Dr. Robert L Kalez, MD PC Urology Medicare: Not Enrolled in Medicare Practice Location: 24900 Se Stark St Ste 208, Gresham, OR 97030 Phone: 503-666-3030 Fax: 503-666-3434 |