Roya Mansouri (NPI# 1265407019, PAC ID# 0941273742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1265407019 |
| PAC ID by PECOS | 0941273742 |
| Professional Enrollment ID | I20040819000145 |
| Full Name | Roya Mansouri |
| Organization Legal Name | OREGON CLINIC PC |
| Address |
24076 Se Stark St Suite 230 Gresham OR 97030-3162 |
| Phone Number | 5034655461 |
| Gender | F |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2860390408 |
| Number of Group Practice Members | 280 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 24076 Se Stark St, Suite 230, Gresham, OR 97030-3162 | 5034655461 | OREGON CLINIC PC |
| Organization Legal Name | OREGON CLINIC PC |
| Physicians | 299 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael H Bourne | Pulmonary Disease | Oregon Clinic PC | 879 Providence Dr, Newberg, OR 97132-7563 |
| Jin Hee Kim | Urology | Oregon Clinic PC | 19250 Sw 65th Ave, Tualatin, OR 97062-7745 |
| Michael Jerome Kaempf | Urology | Oregon Clinic PC | 500n Columbia River Hwy, Saint Helens, OR 97051-1299 |
| Michael Martin Owens | Gastroenterology | Oregon Clinic PC | 9701 Sw Barnes, Suite 300, Portland, OR 97225-6689 |
| Eric Keith Hansen | Radiation Oncology | Oregon Clinic PC | 4805 Ne Glisan Garden Level, Portland, OR 97220 |
| Jeffrey Joseph Weprin | Gastroenterology | Oregon Clinic PC | 18650 Nw Cornell Rd, Suite 212, Hillsboro, OR 97124-9208 |
| Kenneth L Reckard | Physician Assistant | Oregon Clinic PC | 19250 Sw 90th Ave, Tualatin, OR 97062-7585 |
| Lorraine W Gohman | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Pamela Dawn Voltz | Physician Assistant | Oregon Clinic PC | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Alyssa Marie O'brien | Registered Dietitian Or Nutrition Professional | Oregon Clinic PC | 1508 Division St, Suite 15, Oregon City, OR 97045-1583 |
| Street Address |
24076 SE STARK ST SUITE 230 |
| City | GRESHAM |
| State | OR |
| Zip | 97030-3162 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clem George Eischen Jr. | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Babok Amir Ghaheri | Otolaryngology | Oregon Clinic PC | 24076 Se Stark St, Suite 230, Gresham, OR 97030-3162 |
| Marc R Davidson | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Jess M Meyer | Physician Assistant | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Patrick Clinton | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Julie A Proctor | Nurse Practitioner | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Heather K Odell | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| Bret H Dales | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Jeffreys D Albright | Orthopedic Surgery | Advantage Orthopedic and Sports Medicine Clinic LLP | 24076 Se Stark St, Suite 110, Gresham, OR 97030-3162 |
| Claire Valentine | Physical Therapy | Gresham Sportscare | 24076 Se Stark St, Suite 200, Gresham, OR 97030-3376 |
| 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 | OTOLARYNGOLOGY |
| City + Specialty | GRESHAM + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Roya Mansouri.
| 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.