| Nick Orem Esmonde I, MD, MPH | |
| 
					3181 Sw Sam Jackson Park Rd, L579, Portland, OR 97239-3011  | |
| (503) 494-8652 | |
| (503) 494-8513 | 
| Full Name | Nick Orem Esmonde I | 
|---|---|
| Gender | Male | 
| Speciality | Plastic Surgery | 
| Location | 3181 Sw Sam Jackson Park Rd, 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 | 
|---|---|---|---|
| 1477973386 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208200000X | Plastic Surgery | MD198692 (Oregon) | Primary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary | 
| Entity Name | Legacy Good Samaritan Hospital And Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nick Orem Esmonde I, MD, MPH 3181 Sw Sam Jackson Park Rd, L579, Portland, OR 97239-3011 Ph: (503) 494-8652  | Nick Orem Esmonde I, MD, MPH 3181 Sw Sam Jackson Park Rd, L579, Portland, OR 97239-3011 Ph: (503) 494-8652  | 
Dr. Michael F. Bohley, M.D.,P.C. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 10201 Se Main St Ste 20, Portland, OR 97216 Phone: 503-253-3458 Fax: 503-253-0856  | |
Erik Matthew Wolfswinkel, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6687 Fax: 503-494-1717  | |
Dr. Stiles Turner Jewett Jr., M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12400 Nw Cornell Rd, Suite 200, Portland, OR 97229 Phone: 503-646-0101 Fax: 503-350-1420  | |
Michelle Bonapace-potvin, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave Bldg 1, Portland, OR 97239 Phone: 150-349-4668  | |
Dr. Michael John Wheatley, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St, Suite 330, Portland, OR 97227 Phone: 503-413-3650 Fax: 503-413-3644  | |
Reid Vance Mueller, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6687  |