| Matthew Clay Upshaw, DO | |
|
400 Ne Roberts Ave, Gresham, OR 97030-7464 | |
| (503) 665-9144 | |
| (503) 665-6404 |
| Full Name | Matthew Clay Upshaw |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 400 Ne Roberts Ave, Gresham, 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 |
|---|---|---|---|
| 1407842487 | NPI | - | NPPES |
| 287698 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO21884 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Adventist Health Portland | Portland, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1498 |
| Roberts Street Clinic, P.c. | 5991787426 | 2 |
| Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1498 |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Entity Name | Roberts Street Clinic, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003024423 PECOS PAC ID: 5991787426 Enrollment ID: O20040607000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Clay Upshaw, DO 400 Ne Roberts Ave, Gresham, OR 97030-7464 Ph: (503) 665-9144 | Matthew Clay Upshaw, DO 400 Ne Roberts Ave, Gresham, OR 97030-7464 Ph: (503) 665-9144 |
Dr. Paul E Vanbredavriesman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18000 Se Stark Street, Gresham, OR 97233 Phone: 503-255-4243 Fax: 503-255-4243 | |
Allison Evans, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030 Phone: 503-665-1010 | |
Dr. Joseph Mark Eisenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Ne 8th St, 3rd Floor, East County Health Center, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Gordon Paul Canzler, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Ne Roberts Ave, Gresham, OR 97030 Phone: 503-665-9144 Fax: 503-665-6404 | |
Caroline Chase Adams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9525 | |
Paul Podett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030 Phone: 503-665-1010 Fax: 503-665-1023 | |
Svetlana Taycher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr, Suite 125, Gresham, OR 97030 Phone: 503-661-3439 Fax: 503-669-1360 |