Roy Charles Bliley Iv, MD in Portland, OR

Roy Charles Bliley Iv, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Portland, Oregon. His current practice location is 4805 Ne Glisan St Garden Level, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-6029.

Roy Charles Bliley Iv is licensed to practice in Oregon (license number MD226128) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407484314.

Contact Information

	Roy Charles Bliley Iv, MD
	4805 Ne Glisan St Garden Level, Portland, OR 97213
	(503) 215-6029
	Not Available

Map and Direction

Physician's Profile

Full Name	Roy Charles Bliley Iv
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	4805 Ne Glisan St Garden Level, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407484314
Provider Enumeration Date: 03/28/2020
Last Update Date: 08/04/2025

Medicare PECOS Information:

PECOS PAC ID: 5597183939
Enrollment ID: I20200916001625

Medical Identifiers

Medical identifiers for Roy Charles Bliley Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407484314	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	MD226128 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roy Charles Bliley Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Roy Charles Bliley Iv, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Roy Charles Bliley Iv, MD 4805 Ne Glisan St Garden Level, Portland, OR 97213 Ph: (503) 215-6029

Reviews and Comments

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Roy Charles Bliley Iv, MD - Medicare Radiology in Portland, OR