| Dr Mark D Reller, MD | |
| 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 | |
| (503) 494-2192 | |
| (503) 494-2824 | 
| Full Name | Dr Mark D Reller | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Cardiology | 
| Location | 707 Sw Gaines St, 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 | 
|---|---|---|---|
| 1972548469 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | MD13950 (Oregon) | Secondary | 
| 2080P0202X | Pediatrics - Pediatric Cardiology | MD13950 (Oregon) | Primary | 
| Entity Name | Good Samaritan Hospital Corvallis | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 | 
| Entity Name | Asante | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770587107 PECOS PAC ID: 0547177321 Enrollment ID: O20031219000238 | 
| Entity Name | Albany General Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154372340 PECOS PAC ID: 9931097987 Enrollment ID: O20040310000310 | 
| Entity Name | Asante Three Rivers Medical Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801891809 PECOS PAC ID: 9931197993 Enrollment ID: O20040506000367 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mark D Reller, MD 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 Ph: (503) 494-2192 | Dr Mark D Reller, MD 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 Ph: (503) 494-2192 | 
| Dr. Sharon Sarah Green Gorini, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Southwest Sam Jackson Park Road, Oregon Health And Science University Mail-dc9r, Portland, OR 97239 Phone: 503-418-5170 | |
| Megan Furnari, M.D., M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Road, Portland, OR 97239 Phone: 503-494-8211 | |
| Dr. Leah Marie Downey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd Fl 12, Portland, OR 97239 Phone: 503-494-8122 Fax: 503-494-7104 | |
| Bruce Alan Boston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1926 | |
| Dr. Karin Ann Selva, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite 375, Portland, OR 97227 Phone: 503-413-1600 | |
| Dr. Peter H Chang, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 N Graham St Ste 250, Portland, OR 97227 Phone: 503-280-3418 Fax: 503-284-7885 | |
| George W Bengtson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4212 Ne Broadway St, Portland, OR 97213 Phone: 503-249-8787 |