| Elevate Health | |
|
2230 Nw Pettygrove St Ste 110 Portland OR 97210-2659 | |
| (503) 227-0350 | |
| (503) 227-0745 |
| Full Name | Elevate Health |
|---|---|
| Speciality | Family Medicine |
| Location | 2230 Nw Pettygrove St Ste 110, Portland, Oregon |
| Authorized Official Name and Position | Dahra Diane Perkins (OWNER) |
| Authorized Official Contact | 5032270350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Health 2230 Nw Pettygrove St Ste 110 Portland OR 97210-2659 Ph: (503) 227-0350 | Elevate Health 2230 Nw Pettygrove St Ste 110 Portland OR 97210-2659 Ph: (503) 227-0350 |
| NPI Number | 1124429329 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 7214248129 |
|---|---|
| Medicare Enrollment ID | O20150618002457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124429329 | NPI | - | NPPES |
| Provider Name | Rebecca J Robb Hicks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164512943 PECOS PAC ID: 3375539299 Enrollment ID: I20050211000900 |
| Provider Name | Dahra Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275753121 PECOS PAC ID: 3274601737 Enrollment ID: I20081010000173 |
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