Dr Marla Marina Matar, MD | |
17620 Blue Heron Dr, Lake Oswego, OR 97034-6608 | |
(626) 824-6747 | |
Not Available |
Full Name | Dr Marla Marina Matar |
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Gender | Female |
Speciality | Anesthesiology |
Location | 17620 Blue Heron Dr, Lake Oswego, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326071481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | MD26384 (Oregon) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Mailing Address | Practice Location Address |
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Dr Marla Marina Matar, MD 17620 Blue Heron Dr, Lake Oswego, OR 97034-6608 Ph: (626) 824-6747 | Dr Marla Marina Matar, MD 17620 Blue Heron Dr, Lake Oswego, OR 97034-6608 Ph: (626) 824-6747 |
Dr. Clyde H Nakayama, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4170 Orchard Way, Lake Oswego, OR 97035 Phone: 503-636-1497 Fax: 503-636-1497 | |
Dr. James C. Harvey, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Upper Devon Ln, Lake Oswego, OR 97034 Phone: 503-706-9978 | |
Dr. Mark Alan Morehart, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15947 Waluga Dr., Lake Oswego, OR 97035 Phone: 503-635-2273 Fax: 503-635-2274 |