| Justin Diegel, DO | |
|
9800 Se Sunnyside Rd, Clackamas, OR 97015-9301 | |
| (800) 813-2000 | |
| Not Available |
| Full Name | Justin Diegel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9800 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497193718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP60735906 (Washington) | Secondary |
| 207Q00000X | Family Medicine | DO181825 (Oregon) | Primary |
| 207Q00000X | Family Medicine | 0054482 (Colorado) | Secondary |
| Entity Name | Pueblo Community Health Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770529950 PECOS PAC ID: 4284543802 Enrollment ID: O20031104000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Diegel, DO 500 Ne Multnomah St Ste 100, Portland, OR 97232-2099 Ph: (800) 813-2000 | Justin Diegel, DO 9800 Se Sunnyside Rd, Clackamas, OR 97015-9301 Ph: (800) 813-2000 |
Dr. Calvert John Shipley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-653-6440 |
Dr. Thorsten Lundsgaarde, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 |
Dr. Lisa Burton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9800 Se Sunnyside Rd, Mt Scott Medical Office, Clackamas, OR 97015 Phone: 503-652-2880 |
Jon Peters, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425 |
Richard H Rigby Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 |
Carla Jean Bowman, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8445 |
Guy Whitehead Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 |