| Kathleen Balazy Jaffe, MD, MPH | |
|
Kaiser Permanente Interstate Radiation Oncology, 3620 N Interstate Ave, Portland, OR 97227-9722 | |
| (503) 280-2931 | |
| Not Available |
| Full Name | Kathleen Balazy Jaffe |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 12 Years |
| Location | Kaiser Permanente Interstate Radiation Oncology, Portland, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386031649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD.MD.61148904 (Washington) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 203975 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marinhealth Medical Center | Greenbrae, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Marin Cancer Care, Inc. | 1557542289 | 10 |
| Entity Name | Marin Cancer Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629370499 PECOS PAC ID: 1557542289 Enrollment ID: O20110228000844 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Balazy Jaffe, MD, MPH 3620 N Interstate Ave, Portland, OR 97227-1106 Ph: (800) 813-2000 | Kathleen Balazy Jaffe, MD, MPH Kaiser Permanente Interstate Radiation Oncology, 3620 N Interstate Ave, Portland, OR 97227-9722 Ph: (503) 280-2931 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |