| Raymond S Edwards, MD | |
|
2801 N Gantenbein Ave, Portland, OR 97227-1623 | |
| (503) 413-4032 | |
| (503) 227-0218 |
| Full Name | Raymond S Edwards |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 2801 N Gantenbein Ave, Portland, 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 |
|---|---|---|---|
| 1356385835 | NPI | - | NPPES |
| 133963 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD21787 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tuality Community Hospital | Hillsboro, OR | Hospital |
| Columbia Memorial Hospital | Astoria, OR | Hospital |
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Lutheran Charities | 5294643359 | 80 |
| Tuality Medical Group Llc | 7416173414 | 255 |
| Entity Name | Columbia Lutheran Charities |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028 |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Entity Name | Columbia Lutheran Charities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073 |
| Entity Name | Radiology Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023050457 PECOS PAC ID: 8628063450 Enrollment ID: O20040420000040 |
| Entity Name | Ts Radiology Billings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669413514 PECOS PAC ID: 0840221230 Enrollment ID: O20050825000446 |
| Entity Name | Tuality Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073929782 PECOS PAC ID: 7416173414 Enrollment ID: O20140729000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond S Edwards, MD Po Box 3409, Portland, OR 97208-3409 Ph: (503) 227-2400 | Raymond S Edwards, MD 2801 N Gantenbein Ave, Portland, OR 97227-1623 Ph: (503) 413-4032 |
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 |