| Dr Bruce Neal Holmes, MD | |
|
19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 | |
| (503) 692-7785 | |
| (503) 885-9882 |
| Full Name | Dr Bruce Neal Holmes |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 19875 Sw 65th Ave, Tualatin, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790754273 | NPI | - | NPPES |
| 8289571 | Medicaid | WA | |
| 073291 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 19222 (Oregon) | Primary |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Neal Holmes, MD 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 Ph: (503) 692-7785 | Dr Bruce Neal Holmes, MD 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062-8353 Ph: (503) 692-7785 |
Nalini Velayudhan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19250 Sw 65th Ave Ste 110, Tualatin, OR 97062 Phone: 503-692-1205 Fax: 503-692-1207 | |
Dr. Warren Ikpomosa Okuns, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19875 Sw 65th Ave, Suite 100, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-692-2520 | |
Allison Dillon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 19875 Sw 65th Ave Ste 100, Tualatin, OR 97062 Phone: 503-692-7785 | |
Clarice Audrey Cheng, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-723-6699 | |
Dr. Xianghong Zhu, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19185 Sw 90th Ave, Tualatin, OR 97062 Phone: 503-885-7300 | |
Elizabeth Flores, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19875 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-7785 | |
Dr. Jonathan Michael Berger, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19875 Sw 65th Ave, Tualatin, OR 97062 Phone: 503-692-7785 Fax: 503-885-1663 |