Eric J Dierks (NPI# 1265432025, PAC ID# 5890776611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1265432025 |
| PAC ID by PECOS | 5890776611 |
| Professional Enrollment ID | I20040527000658 |
| Full Name | Eric J Dierks |
| Organization Legal Name | HEAD AND NECK SURGICAL ASSOCIATES, PC |
| Address |
1849 Nw Kearney St Suite 300 Portland OR 97209-1453 |
| Phone Number | 5032241371 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 4486544418 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380007 | LEGACY EMANUEL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 | 5032241371 | HEAD AND NECK SURGICAL ASSOCIATES, PC |
| Organization Legal Name | HEAD AND NECK SURGICAL ASSOCIATES, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen Cheng | Maxillofacial Surgery | Head and Neck Surgical Associates, PC | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 |
| Caitlin Bl Magraw | Maxillofacial Surgery | Head and Neck Surgical Associates, PC | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 |
| Street Address |
1849 NW KEARNEY ST SUITE 300 |
| City | PORTLAND |
| State | OR |
| Zip | 97209-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen Cheng | Maxillofacial Surgery | Head and Neck Surgical Associates, PC | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 |
| Stuart M Rosenblum | Anesthesiology | 1849 Nw Kearney St, Suite 201, Portland, OR 97209-1453 | |
| Caitlin Bl Magraw | Maxillofacial Surgery | Head and Neck Surgical Associates, PC | 1849 Nw Kearney St, Suite 300, Portland, OR 97209-1453 |
| Alison Metcalf | Qualified Audiologist | 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 | |
| Richard Sterling Hodgson | Otolaryngology | R Sterling Hodgson Md LLC | 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 |
| Jennifer A Ratigan | Audiologist | R Sterling Hodgson Md LLC | 1849 Nw Kearney St, Suite 200, Portland, OR 97209-1453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Schmick | Psychiatry | 325 Nw 21st Ave, Suite 100, Portland, OR 97209-1179 | |
| Naomi Steinberg | Psychologist, Clinical | 2066 Nw Irving St, Suite 3, Portland, OR 97209-1200 | |
| Rowan Schuitevoerder | Psychologist, Clinical | 2049 Nw Hoyt St, Portland, OR 97209-1260 | |
| Robert Linhares | Psychologist, Clinical | 905 Nw 20th Ave, Portland, OR 97209-1440 | |
| Frances F Miller | Psychologist, Clinical | 811 Nw 20th Ave, Suite 301, Portland, OR 97209-1443 | |
| Forrest M Kublick | Psychologist, Clinical | 1942 Nw Kearney St, Suite 14, Portland, OR 97209-1463 | |
| Jean K Shirkoff | Clinical Social Worker | 1942 Nw Kearney St, Suite 12, Portland, OR 97209-1463 | |
| Paul E Kohn | Nurse Practitioner | 1962 Nw Kearney St, Suite 206, Portland, OR 97209-1464 | |
| Barbara Kane Campbell | Psychologist, Clinical | Neurohealth Associates, LLP | 1942 Nw Kearney St, 24 Nw Office, Portland, OR 97209-1465 |
| Lawrence D Schwartz | Psychiatry | Neurohealth Associates, LLP | 1942 Nw Kearney St, 24 Nw Office, Portland, OR 97209-1465 |
| Find all physicians in zip 97209 | |||
| City | PORTLAND |
| Zip Code | 97209 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | PORTLAND + MAXILLOFACIAL SURGERY |
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| 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.