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Primary Practice Address
4920 N INTERSTATE AVE
PORTLAND, OR 97217-3653 US
Accepts Medicare Payment

PECOS Enrolled

Thanhlong Duc Pham

Family Medicine Physician


Thanhlong Duc Pham

Overview

Thanhlong Duc Pham is a Family Medicine Physician in the PORTLAND area and has over 19 years of experience. Thanhlong Duc Pham primary office location is at 4920 N INTERSTATE AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended Oregon Health Sciences University School Of Medicine and graduated 2005

Thanhlong Duc Pham is affiliated with one hospital in the PORTLAND area, PROVIDENCE PORTLAND MEDICAL CENTER. The NPI number is 1265692511 and the information was updated approximately 12 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
4920 N INTERSTATE AVE
PORTLAND, OR 97217-3653 US
Phone: (503)-215-3300
Fax:
Practice Mailing Information
PO BOX 3158
PORTLAND, OR 97217-3653 US
Phone: (503)-215-6494
Fax: (503)-215-6644
License Number State
MD28383 OR
Board Certifications
Family Medicine
Type/Issuer IdentifierState
MEDICAID 241669 OR

Quality Reporting:

Accepts Medicare Assignment: Yes

If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount.

Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No
Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No
Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No
Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20080822000111
PECOS Individual PAC ID: 7416022660
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