| Stephen Michael Blum, MD | |
|
1001 Nw Lovejoy St, Unit 706, Portland, OR 97209-3566 | |
| (503) 719-6544 | |
| (866) 898-2159 |
| Full Name | Stephen Michael Blum |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1001 Nw Lovejoy St, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861441560 | NPI | - | NPPES |
| 808256100 | Medicaid | ID | |
| 8529588 | Medicaid | WA | |
| 1861441560 | Other | TRICARE NORTH | |
| 402417602 | Medicaid | MD | |
| P00922031 | Other | OR | RAILROAD MCR |
| 1451169 | Medicaid | LA | |
| 235428 | Medicaid | AZ | |
| 036077134 | Medicaid | IL | |
| 2749477 | Medicaid | OH | |
| 00598870 | Medicaid | NY | |
| 402417601 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 036077134 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0036077134 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Michael Blum, MD 23625 Commerce Park, Suite 204, Beachwood, OH 44122 Ph: (216) 255-5743 | Stephen Michael Blum, MD 1001 Nw Lovejoy St, Unit 706, Portland, OR 97209-3566 Ph: (503) 719-6544 |
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: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments 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 |