| Northwest Occupational Medicine Center Inc. | |
|
9400 Sw Beaverton Hillsdale Hwy Suite 205 Beaverton OR 97005-3315 | |
| (503) 684-7246 | |
| (503) 624-0724 |
| Full Name | Northwest Occupational Medicine Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9400 Sw Beaverton Hillsdale Hwy, Beaverton, Oregon |
| Authorized Official Name and Position | Shari E Welch (BILLING SPECIALIST) |
| Authorized Official Contact | 5036847246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Occupational Medicine Center Inc. 9400 Sw Beaverton Hillsdale Hwy Suite 205 Beaverton OR 97005-3315 Ph: (503) 684-7246 | Northwest Occupational Medicine Center Inc. 9400 Sw Beaverton Hillsdale Hwy Suite 205 Beaverton OR 97005-3315 Ph: (503) 684-7246 |
| NPI Number | 1407882772 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 02/11/2011 |
| Medicare PECOS PAC ID | 2769487990 |
|---|---|
| Medicare Enrollment ID | O20060922000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407882772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Bradford B Lorber |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1649215336 PECOS PAC ID: 5395771158 Enrollment ID: I20060922000068 |
| Provider Name | Andrew G Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295979805 PECOS PAC ID: 0547301533 Enrollment ID: I20100113000480 |
| Provider Name | Jennifer K Cann |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902117898 PECOS PAC ID: 0042442881 Enrollment ID: I20141125000008 |
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