Elliot Joo (NPI# 1033322128, PAC ID# 0143370502) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1033322128 |
| PAC ID by PECOS | 0143370502 |
| Professional Enrollment ID | I20120822000397 |
| Full Name | Elliot Joo |
| Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Address |
24800 Se Stark St Gresham OR 97030-3378 |
| Phone Number | 5036741122 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | GASTROENTEROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 7012827876 |
| Number of Group Practice Members | 196 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 14450 Se Royer Rd, Damascus, OR 97089-8730 | 5036585521 | PORTLAND ADVENTIST MEDICAL CENTER |
| 24800 Se Stark St, Gresham, OR 97030-3378 | 5036741122 | PORTLAND ADVENTIST MEDICAL CENTER |
| 10000 Se Main St, Suite 112, Portland, OR 97216-2441 | 5032553054 | PORTLAND ADVENTIST MEDICAL CENTER |
| Organization Legal Name | PORTLAND ADVENTIST MEDICAL CENTER |
| Physicians | 159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Abraham Feldman | Interventional Cardiology | Portland Adventist Medical Center | 2700 Se Stratus Ave, Unit 406, Mcminnville, OR 97128-6258 |
| Valerie Warner Lanham | Clinical Social Worker | Portland Adventist Medical Center | 10201 Se Main St, Suite 29, Portland, OR 97216-2937 |
| Tamara M Wostal | Nurse Practitioner | Portland Adventist Medical Center | 1350 Ne 122nd Ave, Suite 200, Portland, OR 97230-2011 |
| Cory V Carlston | Hand Surgery | Portland Adventist Medical Center | 10000 Se Main St, Suite 224, Portland, OR 97216-2469 |
| Derek Nathan Anderson | Family Medicine | Portland Adventist Medical Center | 19220 Mcloughlin Blvd, Gladstone, OR 97027-2642 |
| Angela V Lewis | Physician Assistant | Portland Adventist Medical Center | 14450 Se Royer Rd, Damascus, OR 97089-8730 |
| Christopher M Love | Family Medicine | Portland Adventist Medical Center | 17055 Ruben Ln, Sandy, OR 97055-9276 |
| Anong Y Moua | Family Practice | Portland Adventist Medical Center | 13021 Se River Rd, 3000 Adventist Health Medical Group Willamette View, Portland, OR 97222-8028 |
| William C Chapin | Endocrinology | Portland Adventist Medical Center | 10101 Se Main St, Suite 1001, Portland, OR 97216-2456 |
| Larry L Moffett | Family Medicine | Portland Adventist Medical Center | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 |
| Street Address |
24800 SE STARK ST |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emmanuel Tavan | Pulmonary Disease | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Kathrin R Meyers | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Elizabeth T Kutella | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Michelle Dwulit | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Andrew Y Kee | Radiation Oncology | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Sarah A Walter | Pathology | Cascade Pathology Services Corp | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Brian R Mahon | Diagnostic Radiology | Tualatin Imaging PC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Ange Mong Ly | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Scott D Sonek | Nurse Practitioner | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Fredrick S An | Internal Medicine | Legacy Clinics LLC | 24800 Se Stark St, Gresham, OR 97030-3378 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | GRESHAM + GASTROENTEROLOGY |
Please comment or provide details below to improve the information on Elliot Joo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.