Anthony B Bouneff (NPI# 1972643963, PAC ID# 0941293526) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1972643963 |
| PAC ID by PECOS | 0941293526 |
| Professional Enrollment ID | I20100907000348 |
| Full Name | Anthony B Bouneff |
| Organization Legal Name | BEAVERTON ORAL SURGEONS EQUIPMENT LLC |
| Address |
3925 Sw 153rd Dr Suite 100 Beaverton OR 97003-4168 |
| Phone Number | 5036467101 |
| Gender | M |
| Medical School | OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY |
| Graduation Year | 1986 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 1658364229 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 3925 Sw 153rd Dr, Suite 100, Beaverton, OR 97003-4168 | 5036467101 | BEAVERTON ORAL SURGEONS EQUIPMENT LLC |
| 3925 Sw 153rd Dr, Beaverton, OR 97003-4168 | 5036467101 | BEAVERTON ORAL SURGEONS EQUIPMENT LLC |
| Organization Legal Name | BEAVERTON ORAL SURGEONS EQUIPMENT LLC |
| Physicians | 1 |
| Street Address |
3925 SW 153RD DR SUITE 100 |
| City | BEAVERTON |
| State | OR |
| Zip | 97003-4168 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Cannon | Physical Therapy | Therapydia, Inc | 3925 Sw 153rd Dr, Suite 210, Beaverton, OR 97003-4176 |
| Kimberly P Mineo | Physical Therapy | Therapydia, Inc | 3925 Sw 153rd Dr, Suite 210, Beaverton, OR 97003-4176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Serana Kathryn Chester | Psychologist, Clinical | Dr Laura Renteria PC | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 |
| Laura Renteria | Psychologist, Clinical | Dr Laura Renteria PC | 14631 Sw Millikan Way, Beaverton, OR 97003-2999 |
| Ezra Azhar | Family Practice | 3415 Sw 187th Ave, Beaverton, OR 97003-3106 | |
| Jacqueline K Ng | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Nisha Nagarkatti-gude | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Devin M Gattey | Ophthalmology | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Robert Hugh Brumley | Optometry | Oregon Eye Specialists, PC | 18345 Sw Alexander St, Suite A, Aloha, OR 97003-3960 |
| Susan Tobey Denman | Dermatology | 18345 Sw Alexander St, Suite B, Aloha, OR 97003-3960 | |
| Randy D Cadman | Physical Therapy | 17610 Sw Alexander St, Aloha, OR 97003-4411 | |
| Kelly R Leaf | Emergency Medicine | 17600 Swalexander St, Beaverton, OR 97003-4411 | |
| Find all physicians in zip 97003 | |||
| City | BEAVERTON |
| Zip Code | 97003 |
| Specialty | ORAL SURGERY |
| City + Specialty | BEAVERTON + ORAL SURGERY |
Please comment or provide details below to improve the information on Anthony B Bouneff.
| 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.