Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
profile image
Primary Practice Address
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239 US
PECOS Enrolled

Shira Peress

Student


Shira Peress

Overview

Shira Peress is a Student in the PORTLAND area. Shira Peress primary office location is at 3181 SW SAM JACKSON PARK ROAD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003492000 and the information was updated approximately 3 years ago.

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

Primary Practice Location Information
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239 US
Phone: (503)-494-8211
Fax:
Practice Mailing Information
3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239 US
Phone: (503)-494-8211
Fax:

No Licenses found


No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X --Y

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
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