| Marc G Levitte, MD | |
| 
					2400 Sw Vermont St, Portland, OR 97219-1940  | |
| (503) 452-0915 | |
| (503) 768-9232 | 
| Full Name | Marc G Levitte | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 2400 Sw Vermont St, Portland, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699775742 | NPI | - | NPPES | 
| 151344 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD16675 (Oregon) | Primary | 
| Entity Name | Legacy Clinics Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089  | 
| Entity Name | Fanno Creek Clinic Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609876705 PECOS PAC ID: 0042100521 Enrollment ID: O20040318000244  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Marc G Levitte, MD 2400 Sw Vermont St, Portland, OR 97219-1940 Ph: (503) 452-0915  | Marc G Levitte, MD 2400 Sw Vermont St, Portland, OR 97219-1940 Ph: (503) 452-0915  | 
Salona Shrestha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392  | |
Dr. Emmanuel Trungtoan Tavan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901  | |
Ginevra Lois Liptan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808  | |
Donald Richard Sullivan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949  | |
Dr. Victor Nguyen Pham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906  | |
Richa Uppal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1849 Nw Kearney St Ste 200, Portland, OR 97209 Phone: 971-229-4545 Fax: 503-966-2427  | |
Reem Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562  |