| Dr Mark N Roberts, DO | |
|
10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | |
| (503) 297-6334 | |
| (503) 297-2360 |
| Full Name | Dr Mark N Roberts |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154485514 | NPI | - | NPPES |
| 062695 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO18206 (Oregon) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark N Roberts, DO 9340 Sw Barnes Rd, Suite 202, Portland, OR 97225-6623 Ph: (503) 297-6334 | Dr Mark N Roberts, DO 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 Ph: (503) 297-6334 |
Dr. James Edward Maras, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-297-6334 Fax: 503-297-2360 | |
Dr. Paul Vincent Skiles, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-297-6334 Fax: 503-297-2360 | |
Dr. Jason Dean Sundseth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8311 | |
Dr. Speros Demetre Homer Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-297-6334 Fax: 503-297-2360 | |
Dr. David Glen Knox, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-297-6334 Fax: 503-297-2360 | |
Dr. Preston Joseph Fedor, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 |