| Titas Banerjee, | |
|
24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | |
| (971) 262-9500 | |
| (971) 262-9501 |
| Full Name | Titas Banerjee |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Medical Oncology |
| Location | 24988 Se Stark St Ste 140, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659807931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | MD197727 (Oregon) | Primary |
| 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 |
|---|---|
| Titas Banerjee, 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 Ph: (866) 617-6855 | Titas Banerjee, 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 Ph: (971) 262-9500 |
Kathrin Rose Meyers, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Dr. Kathryn L Huyssoon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24988 Se Stark St, Ste 300, Gresham, OR 97030 Phone: 503-674-5818 Fax: 503-674-6709 | |
Dr. Brittany Nicole Kishel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Amy Katherine Chaumeton, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Aura Theresa Bondoc De Olazo, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 24988 Se Stark St, Mob 3 Suite 220, Gresham, OR 97030 Phone: 503-674-1580 Fax: 503-674-1581 | |
Dr. Brittney B Mensen, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr Ste 101, Gresham, OR 97030 Phone: 503-665-8176 Fax: 503-665-8178 | |
Jennifer Rodriguez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25050 Se Stark St, Gresham, OR 97030 Phone: 503-674-1848 |