| Edward Lin, DO | |
|
5111 Se Lake Rd, Milwaukie, OR 97222-4767 | |
| (503) 771-0055 | |
| Not Available |
| Full Name | Edward Lin |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 5111 Se Lake Rd, Milwaukie, 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 |
|---|---|---|---|
| 1659783546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-183-869 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Providence Willamette Falls Medical Center | Oregon city, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | Western U Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942791611 PECOS PAC ID: 9739502212 Enrollment ID: O20200701001577 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Lin, DO 4502 Se Pennywood Dr, Milwaukie, OR 97222-3119 Ph: (352) 871-7024 | Edward Lin, DO 5111 Se Lake Rd, Milwaukie, OR 97222-4767 Ph: (503) 771-0055 |
Johanna Beth Warren, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 | |
Dr. Jerrold L Snow, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6564 Se Lake Rd Ste 200, Milwaukie, OR 97222 Phone: 503-908-5880 Fax: 888-475-8729 | |
Rachelle Kirsten Sherard, LPN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-1300 | |
Dr. Jennifer Dawn Herber, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 | |
Joshua D Reagan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-772-4337 | |
William R Gillanders, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222 Phone: 503-513-8950 Fax: 503-513-8951 | |
Mrs. Elizabeth E. Callaghan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3033 Se Monroe St, Milwaukie, OR 97222 Phone: 503-659-4988 Fax: 503-659-4730 |