| Jamie Mieras, DPM | |
|
25050 Se Stark St, Ste 265, Gresham, OR 97030-3327 | |
| (503) 413-2005 | |
| (503) 413-3699 |
| Full Name | Jamie Mieras |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 25050 Se Stark St, 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 |
|---|---|---|---|
| 1871819078 | NPI | - | NPPES |
| 329089YXFB | Other | CO | MEDICARE |
| 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 Good Samaritan Hospital And Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Mieras, DPM Po Box 3777, Portland, OR 97208-3777 Ph: (503) 413-3900 | Jamie Mieras, DPM 25050 Se Stark St, Ste 265, Gresham, OR 97030-3327 Ph: (503) 413-2005 |
Dr. Timothy James Mineo, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Suite 110, Gresham, OR 97030 Phone: 503-661-5388 | |
Dr. Marshal Terrance Kennedy, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2775 Se Powell Valley Rd, Gresham, OR 97080 Phone: 503-667-7789 Fax: 503-667-2032 | |
Dr. Derek J Mccammon, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St Ste 110, Gresham, OR 97030 Phone: 503-661-5388 Fax: 503-666-9393 | |
Dr. Grayden Woodruff King, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr, Ste 203, Gresham, OR 97030 Phone: 503-667-6600 Fax: 503-667-6608 | |
Gresham Podiatry Center, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr, Suite #203, Gresham, OR 97030 Phone: 503-667-6600 Fax: 503-667-6608 |