| Elliott Walker Cole, MPH | |
|
7401 Sw Washo Ct Ste 100, Tualatin, OR 97062-8342 | |
| (503) 656-0836 | |
| Not Available |
| Full Name | Elliott Walker Cole |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 7401 Sw Washo Ct Ste 100, Tualatin, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861996159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD198731 (Oregon) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD198731 (Oregon) | Primary |
| Entity Name | Regenerative Orthopedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568151561 PECOS PAC ID: 0749640597 Enrollment ID: O20230712002566 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliott Walker Cole, MPH 7401 Sw Washo Ct Ste 100, Tualatin, OR 97062-8342 Ph: () - | Elliott Walker Cole, MPH 7401 Sw Washo Ct Ste 100, Tualatin, OR 97062-8342 Ph: (503) 656-0836 |
John Mason Depasse, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19255 Sw 65th Ave Ste 200, Tualatin, OR 97062 Phone: 503-828-1150 | |
Jeffrey Samuel Cheesman, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 7401 Sw Washo Ct Ste 100, Tualatin, OR 97062 Phone: 503-656-0836 Fax: 503-656-9464 | |
Timothy Lynn Keenen, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 19260 Sw 65th Ave Ste 270, Tualatin, OR 97062 Phone: 503-885-9391 Fax: 503-563-5520 | |
Mark Cecil Weston, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 19255 Sw 65th Ave, Suite 110, Tualatin, OR 97062 Phone: 503-208-9432 Fax: 503-673-1520 | |
Clyde Alan Farris, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 200, Tualatin, OR 97062 Phone: 503-692-6990 Fax: 503-691-6387 | |
John David Dipaola, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Road, Suite C4, Tualatin, OR 97062 Phone: 503-885-7770 Fax: 503-885-7771 | |
Joseph Paul Schenck, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6464 Sw Borland Rd Suite C4, Tualatin, OR 97062 Phone: 503-885-7770 Fax: 503-885-7771 |