| Altea Medical Oregon Llc | |
|
127 Ne 102nd Ave Ste A Portland OR 97220-4152 | |
| (971) 978-1268 | |
| Not Available |
| Full Name | Altea Medical Oregon Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 127 Ne 102nd Ave Ste A, Portland, Oregon |
| Authorized Official Name and Position | Mary Belen Arndt (DIRECTOR OF BILLING) |
| Authorized Official Contact | 7752873290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altea Medical Oregon Llc 400 E Rivulon Blvd Ste 103 Gilbert AZ 85297-0096 Ph: () - | Altea Medical Oregon Llc 127 Ne 102nd Ave Ste A Portland OR 97220-4152 Ph: (971) 978-1268 |
| NPI Number | 1184451254 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 04/23/2025 |
| Medicare PECOS PAC ID | 7315470895 |
|---|---|
| Medicare Enrollment ID | O20241023002539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184451254 | NPI | - | NPPES |
| Provider Name | Mhd Tarek Nashawi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205862505 PECOS PAC ID: 0648275339 Enrollment ID: I20061003000028 |
| Provider Name | Nishita Bhumkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922268176 PECOS PAC ID: 5890832356 Enrollment ID: I20091102000569 |
| Provider Name | Kindra Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154619260 PECOS PAC ID: 7719121193 Enrollment ID: I20130925000585 |
| Provider Name | Stacey W Melnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235572744 PECOS PAC ID: 7416181623 Enrollment ID: I20131001000383 |
| Provider Name | Jefferson Loa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336304773 PECOS PAC ID: 7416122775 Enrollment ID: I20160816002714 |
| Provider Name | Heather Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205307881 PECOS PAC ID: 9032446422 Enrollment ID: I20190807003515 |
| Provider Name | Jodhvir Sarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972816718 PECOS PAC ID: 8628202124 Enrollment ID: I20220525001568 |
| Provider Name | Berhanu Kededa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184994105 PECOS PAC ID: 5991957011 Enrollment ID: I20220713002031 |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20221027002448 |
| Provider Name | Yolanda Nebinsem Nkola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750006151 PECOS PAC ID: 4688042526 Enrollment ID: I20221123002814 |
| Provider Name | Patricia Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215439922 PECOS PAC ID: 7618231127 Enrollment ID: I20230908002114 |
| Provider Name | Joey Jose Cristobal Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992296214 PECOS PAC ID: 2264781855 Enrollment ID: I20230913000947 |
| Provider Name | Benedict Mark M Bunal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508580119 PECOS PAC ID: 9032569587 Enrollment ID: I20231222002866 |
| Provider Name | Jida G Hubana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427637123 PECOS PAC ID: 8820538945 Enrollment ID: I20240904001667 |
| Provider Name | Naomi Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639703754 PECOS PAC ID: 1557733540 Enrollment ID: I20240910002260 |
| Provider Name | Torrey Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992480990 PECOS PAC ID: 0749631471 Enrollment ID: I20250115002842 |
| Provider Name | Sarah Michelle Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003408063 PECOS PAC ID: 5698184133 Enrollment ID: I20250324003543 |
| Provider Name | Tory Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720219124 PECOS PAC ID: 8729133442 Enrollment ID: I20250401001860 |
| Provider Name | Kameron Ferdowsali |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609074210 PECOS PAC ID: 5496828097 Enrollment ID: I20250408001396 |
| Provider Name | Jacqueline Ferdowsali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215278759 PECOS PAC ID: 7810135282 Enrollment ID: I20250409002068 |
| Provider Name | Mi Thi Trieu Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801410675 PECOS PAC ID: 3476965260 Enrollment ID: I20250501001026 |
| Provider Name | Adenike A Oke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742442 PECOS PAC ID: 2466883657 Enrollment ID: I20250502002951 |
| Provider Name | Edward A Delos Trino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346773306 PECOS PAC ID: 2163793951 Enrollment ID: I20250506002845 |
| Provider Name | Bernadette N Kimemia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689148090 PECOS PAC ID: 0648511063 Enrollment ID: I20250506003027 |
| Provider Name | Destiny Rose Lett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578021481 PECOS PAC ID: 7113357500 Enrollment ID: I20250606002441 |
Woodstock Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5536 Se Woodstock Blvd, Portland, OR 97206 Phone: 503-236-1830 Fax: 503-236-1908 | |
Internal Medicine Consultants, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9585 Sw Washington Square Rd, Portland, OR 97223 Phone: 503-320-2121 Fax: 503-641-4158 | |
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Providence Health & Services Oregon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5211 Ne Glisan St Bldg C, Portland, OR 97213 Phone: 503-215-6628 Fax: 503-215-6240 | |
Kaiser Foundation Health Plan Of The Northwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3325 N Interstate Ave, Portland, OR 97227 Phone: 800-813-2000 Fax: 503-286-6879 | |
Jenna Halbert, Nd Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Ne Russell St Ste 207, Portland, OR 97212 Phone: 503-482-8301 | |
Jen Conjerti Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4445 Ne Fremont St, Portland, OR 97213 Phone: 503-984-4748 |