| Cassandra Bree Tomczak, DPM | |
|
19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | |
| (503) 413-2005 | |
| (503) 413-3699 |
| Full Name | Cassandra Bree Tomczak |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 16 Years |
| Location | 19250 Sw 65th Ave Ste 200, Tualatin, 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 |
|---|---|---|---|
| 1689991804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | DP164497 (Oregon) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP164497 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Legacy Emanuel Medical Center | Portland, OR | Hospital |
| Legacy Meridian Park Medical Center | Tualatin, OR | Hospital |
| Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 718 |
| Provider Name | Legacy Clinics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Provider Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831112358 PECOS PAC ID: 4587573639 Enrollment ID: O20040127001204 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Bree Tomczak, DPM Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900 | Cassandra Bree Tomczak, DPM 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 Ph: (503) 413-2005 |
Advanced Foot Clinic, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 6464 Sw Borland Rd Ste B3, Tualatin, OR 97062 Phone: 503-612-4040 Fax: 503-625-8638 |