| Patricia L Norris Md, Pc | |
|
2222 Nw Lovejoy St Suite 422 Portland OR 97210-3033 | |
| (503) 227-7117 | |
| (503) 227-7120 |
| Full Name | Patricia L Norris Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2222 Nw Lovejoy St, Portland, Oregon |
| Authorized Official Name and Position | Patricia Lynn Norris (PRESIDENT) |
| Authorized Official Contact | 5032277117 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia L Norris Md, Pc 2222 Nw Lovejoy St Suite 422 Portland OR 97210-3033 Ph: (503) 227-7117 | Patricia L Norris Md, Pc 2222 Nw Lovejoy St Suite 422 Portland OR 97210-3033 Ph: (503) 227-7117 |
| NPI Number | 1174697239 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 10/08/2013 |
| Medicare PECOS PAC ID | 0345144093 |
|---|---|
| Medicare Enrollment ID | O20031124000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174697239 | NPI | - | NPPES |
| 130006 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD21209 (Oregon) | Primary |
| Provider Name | Patricia Lynn Norris |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306873203 PECOS PAC ID: 9133023880 Enrollment ID: I20031124000659 |
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