| Northwest Spine Surgery Llc | |
|
10,000 Se Main St St 360 Portland OR 97216 | |
| (503) 253-4000 | |
| (503) 253-4002 |
| Full Name | Northwest Spine Surgery Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 10,000 Se Main St St 360, Portland, Oregon |
| Authorized Official Name and Position | Emerald Louise Nelson Flores (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 9712770559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Spine Surgery Llc 10000 Se Main St Ste 360 Portland OR 97216-2474 Ph: (503) 253-4000 | Northwest Spine Surgery Llc 10,000 Se Main St St 360 Portland OR 97216 Ph: (503) 253-4000 |
| NPI Number | 1841040292 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 07/10/2024 |
| Medicare PECOS PAC ID | 4587005921 |
|---|---|
| Medicare Enrollment ID | O20240515004411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841040292 | NPI | - | NPPES |
| Provider Name | Laurens F Johansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083683247 PECOS PAC ID: 4385792142 Enrollment ID: I20090505000076 |
| Provider Name | Kendrick M Khoo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891158663 PECOS PAC ID: 0143624684 Enrollment ID: I20220921000317 |
| Provider Name | Serena Eb Liu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629572284 PECOS PAC ID: 5496006389 Enrollment ID: I20240620003789 |
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 |