| Shanna Cheng, | |
|
3303 S Bond Ave, Portland, OR 97239-4501 | |
| (503) 494-4373 | |
| (503) 418-4189 |
| Full Name | Shanna Cheng |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3303 S Bond Ave, 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 |
|---|---|---|---|
| 1598227001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD209541 (Oregon) | Primary |
| 207R00000X | Internal Medicine | MD209541 (Oregon) | Secondary |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanna Cheng, 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-4373 | Shanna Cheng, 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-4373 |
Salona Shrestha, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-215-2392 |
Dr. Emmanuel Trungtoan Tavan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2800 N Vancouver Ave, Suite 230, Portland, OR 97227 Phone: 503-413-2901 |
Ginevra Lois Liptan, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 6400 Sw Canyon Ct, Ste 100, Portland, OR 97221 Phone: 503-477-9616 Fax: 503-477-9808 |
Donald Richard Sullivan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Uhn67, Portland, OR 97239 Phone: 503-494-6949 |
Dr. Victor Nguyen Pham, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-2906 |
Richa Uppal, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1849 Nw Kearney St Ste 200, Portland, OR 97209 Phone: 971-229-4545 Fax: 503-966-2427 |
Reem Hasan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Ppv 350, Portland, OR 97239 Phone: 503-494-8562 |