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 |
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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 |
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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 |
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Provider Enumeration Date | 09/13/2024 |
Last Update Date | 04/23/2025 |
Medicare PECOS PAC ID | 7315470895 |
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Medicare Enrollment ID | O20241023002539 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184451254 | NPI | - | NPPES |
Provider Name | Mhd Tarek Nashawi |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1205862505 PECOS PAC ID: 0648275339 Enrollment ID: I20061003000028 |
Provider Name | Nishita Bhumkar |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1922268176 PECOS PAC ID: 5890832356 Enrollment ID: I20091102000569 |
Provider Name | Stacey W Melnick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235572744 PECOS PAC ID: 7416181623 Enrollment ID: I20131001000383 |
Provider Name | Jefferson Loa |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336304773 PECOS PAC ID: 7416122775 Enrollment ID: I20160816002714 |
Provider Name | Heather Sanders |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205307881 PECOS PAC ID: 9032446422 Enrollment ID: I20190807003515 |
Provider Name | Jodhvir Sarai |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972816718 PECOS PAC ID: 8628202124 Enrollment ID: I20220525001568 |
Provider Name | Berhanu Kededa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184994105 PECOS PAC ID: 5991957011 Enrollment ID: I20220713002031 |
Provider Name | Joey Jose Cristobal Jose |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992296214 PECOS PAC ID: 2264781855 Enrollment ID: I20230913000947 |
Provider Name | Torrey Dooley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992480990 PECOS PAC ID: 0749631471 Enrollment ID: I20250115002842 |
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