| Randolph K Cribbs, MD | |
|
9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015 | |
| (503) 215-2890 | |
| Not Available |
| Full Name | Randolph K Cribbs |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 9290 Se Sunnybrook Blvd Ste 220, 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 |
|---|---|---|---|
| 1770675563 | NPI | - | NPPES |
| 500679432 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD168029 (Oregon) | Primary |
| Entity Name | Compass Pain Clinic Oregon Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225852007 PECOS PAC ID: 4082140413 Enrollment ID: O20241210000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph K Cribbs, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Randolph K Cribbs, MD 9290 Se Sunnybrook Blvd Ste 220, Clackamas, OR 97015 Ph: (503) 215-2890 |
Dr. James W Dennis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Mary Elizabeth Giswold, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3099 | |
Daniel Alan Ladizinsky, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Kasier Permanente Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-571-3162 Fax: 503-571-3069 | |
Dr. Nicholas Petrochko Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 Fax: 503-571-8984 | |
Dr. Robert Ludemann, M.D. PH.D. Surgery Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3066 Fax: 503-571-3069 | |
James A Schwarz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Charles Youngjoong Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Sunnybrook Medical Office, Clackamas, OR 97015 Phone: 503-786-8435 |