| Dr Dana Clark Kuriakose, MD | |
|
17885 Nw Evergreen Pkwy, Beaverton, OR 97006-7494 | |
| (888) 414-3531 | |
| Not Available |
| Full Name | Dr Dana Clark Kuriakose |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 17885 Nw Evergreen Pkwy, Beaverton, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760619357 | NPI | - | NPPES |
| 014589800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | ME119316 (Florida) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | MD209098 (Oregon) | Primary |
| Entity Name | Advanced Rehabilitation Specialists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215588926 PECOS PAC ID: 4789916123 Enrollment ID: O20191104002777 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana Clark Kuriakose, MD Po Box 96224, Portland, OR 97296-6004 Ph: (908) 303-2105 | Dr Dana Clark Kuriakose, MD 17885 Nw Evergreen Pkwy, Beaverton, OR 97006-7494 Ph: (888) 414-3531 |
Dr. Hai Tien Tran, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9400 Sw Beaverton Hillsdale Hwy, Suite 205, Beaverton, OR 97005 Phone: 503-684-7246 Fax: 503-624-0724 | |
Jennifer K Cann, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9400 Sw Beaverton-hillsdale Highway, Suite 205, Beaverton, OR 97005 Phone: 503-684-7246 Fax: 503-624-0724 |