| Kevin Eischen, | |
|
24076 Se Stark St Ste 200, Gresham, OR 97030-3376 | |
| (503) 491-1666 | |
| (503) 491-1667 |
| Full Name | Kevin Eischen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 24076 Se Stark St Ste 200, Gresham, 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 |
|---|---|---|---|
| 1821543075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 61873 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sportscare Physical Therapy @ Cornell, Llc | 7517115579 | 35 |
| Provider Name | Clackamas Sportscare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689702722 PECOS PAC ID: 2264476431 Enrollment ID: O20050621000571 |
| Provider Name | Gresham Sportscare |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487789657 PECOS PAC ID: 3476605270 Enrollment ID: O20090708000590 |
| Provider Name | Sportscare Physical Therapy @ Cornell, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649534793 PECOS PAC ID: 7517115579 Enrollment ID: O20120917000315 |
| Provider Name | Sandy Sportscare Physical Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1376193425 PECOS PAC ID: 0749512549 Enrollment ID: O20191028003304 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Eischen, 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 Ph: () - | Kevin Eischen, 24076 Se Stark St Ste 200, Gresham, OR 97030-3376 Ph: (503) 491-1666 |
Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444 | |
Paul Song Eo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-1666 | |
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666 | |
Kaeli Frank, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7927 Se Orient Dr, Gresham, OR 97080 Phone: 503-663-0481 | |
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379 | |
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141 | |
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157 |