| Tiffany Odell, DO | |
|
3303 S Bond Ave, Portland, OR 97239-4501 | |
| (503) 494-4314 | |
| (503) 346-6810 |
| Full Name | Tiffany Odell |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 11 Years |
| Location | 3303 S Bond Ave, Portland, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295145878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | DO212021 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 635 |
| 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 |
| Entity Name | University Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Odell, DO 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855 | Tiffany Odell, DO 3303 S Bond Ave, Portland, OR 97239-4501 Ph: (503) 494-4314 |
Dibyendu K Ray, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3303 Sw Bond Avenue, Ohsu Ch8n, Portland, OR 97239 Phone: 503-494-4178 | |
Won Hyung Ryu, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-494-4314 | |
Feridun Acar, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4314 | |
Dr. Jos'lyn Iman Woodard, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-6207 | |
Oisin Ruadri O'neill, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 9155 Sw Barnes Rd, Ste 440, Portland, OR 97225 Phone: 503-297-3766 Fax: 503-297-8148 | |
Anh Huan Hoang Vo, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3303 S Bond Ave, Portland, OR 97239 Phone: 503-494-4314 Fax: 503-346-6810 | |
Dr. Thomas Jay Rosenbaum, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 2222 Nw Lovejoy, Ste 516, Portland, OR 97210 Phone: 503-229-8470 Fax: 503-274-4849 |