| Joseph Mohr, PA-C | |
|
25 Nw 23rd Pl, Portland, OR 97210-5580 | |
| (503) 305-6262 | |
| Not Available |
| Full Name | Joseph Mohr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 25 Nw 23rd Pl, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922720747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA213685 (Oregon) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Uptown Providers Pc | 4284891243 | 43 |
| Entity Name | Uptown Providers PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346903531 PECOS PAC ID: 4284891243 Enrollment ID: O20120202000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Mohr, PA-C 16100 Sw Century Dr Apt 166, Sherwood, OR 97140-6221 Ph: (562) 756-0266 | Joseph Mohr, PA-C 25 Nw 23rd Pl, Portland, OR 97210-5580 Ph: (503) 305-6262 |
James Francis Deitle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708 |
David Pritchett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067 |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000 |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 |
Samuel Bryan Valdivia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St Medical Office Building 2, Suite 220, Portland, OR 97227 Phone: 503-413-6200 |