| Dr Pradeep Chandan, DO | |
|
1015 Nw 22nd Ave, Portland, OR 97210-3025 | |
| (503) 413-7711 | |
| Not Available |
| Full Name | Dr Pradeep Chandan |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 7 Years |
| Location | 1015 Nw 22nd Ave, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245735968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | DO219168 (Oregon) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 64466 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Legacy Salmon Creek Medical Center | Vancouver, WA | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Salmon Creek Hospital | 0446295711 | 253 |
| Legacy Clinics Llc | 0244144004 | 635 |
| Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 152 |
| Legacy Emanuel Hospital And Health Center | 4587573639 | 194 |
| Legacy Meridian Park Hospital | 5092609842 | 93 |
| Entity Name | Legacy Salmon Creek Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pradeep Chandan, DO 1040 Nw 22nd Ave Ste 420, Portland, OR 97210-3062 Ph: (503) 413-2689 | Dr Pradeep Chandan, DO 1015 Nw 22nd Ave, Portland, OR 97210-3025 Ph: (503) 413-7711 |
Mikel Matto, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2214 Lloyd Ctr, Portland, OR 97232 Phone: 503-494-4222 Fax: 503-494-6143 | |
William James Hoppe, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13303 Nw Springville Rd, Portland, OR 97229 Phone: 503-910-2664 | |
Dr. Robert Gene Mealer, M.D., PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6176 Fax: 503-494-6152 | |
Karina Rae Espana, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 | |
Dr. David Morrison Douglas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-721-1440 | |
Margaret S Cary, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Mail Code Dc7p, Portland, OR 97239 Phone: 503-418-5775 Fax: 503-418-5774 | |
Dr. Melissa Beth Buboltz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn 80, Portland, OR 97239 Phone: 503-494-8311 |