4805 NE GLISAN ST
PORTLAND, OR 97213-2933 US PECOS Enrolled
Salona Shrestha
Internal Medicine Physician
- PORTLAND, OR
- Phone: (503)-215-2392
- Last Updated 12/6/2019
Overview
Salona Shrestha is a Internal Medicine Physician in the PORTLAND area and has over 21 years of experience. Salona Shrestha primary office location is at 4805 NE GLISAN ST and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 2003
Salona Shrestha is affiliated with one hospital in the PORTLAND area, PROVIDENCE PORTLAND MEDICAL CENTER. The NPI number is 1003002379 and the information was updated approximately 5 years ago.
Salona Shrestha is affiliated with one medical group in the PORTLAND area, PROVIDENCE HEALTH AND SERVICES OREGON.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| MD00048484 | WA |
| MD160505 | OR |
| Board Certifications |
|---|
| Internal Medicine |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 8497232 | WA |
| RR MEDICARE | P0048662 | WA |
| MEDICAID | 8389686 | WA |
| RR MEDICARE | P00468662 | WA |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | OR | Y |
| Internal Medicine Physician - Taxonomy Code 207R00000X | WA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20131101000541 |
| PECOS Individual PAC ID: | 5496842486 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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