Annie Seapan Mack
MD | Pediatrics | Female
Annie Seapan Mack, MD is a Clackamas, Oregon based Pediatric doctor with medical specialization in
General Pediatrics. Annie Seapan Mack is also known as
Annie Seapan.
Current practice location of Annie Seapan Mack is
9800 Se Sunnyside Rd, Clackamas, Oregon - 97015-9750. She can be contacted on phone at
800-813-2000.
Annie Seapan Mack is a sole proprietor of her business.
NPI number (Unique professional ID) for Annie Seapan Mack is
1932125184 which was assigned by NPPES on 14 Jul, 2006 and it was last updated on 14 Jul, 2021.
Annie Seapan Mack license number is
MD27041 for Pediatrics (208000000X) in Oregon.
Annie Seapan Mack is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Annie Seapan Mack basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Annie Seapan Mack |
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| Other Name : | Annie Seapan |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Annie Seapan Mack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9800 Se Sunnyside Rd
Clackamas, OR, 97015-9750
United States |
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| Phone Number : | 800-813-2000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1932125184 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Jul, 2006 |
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| Last Updated On : | 14 Jul, 2021 |
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Medicare Participation:
Annie Seapan Mack participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2062441058 |
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| Medicare Enrollment ID : | I20100804000670 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | University Of Texas Medical School At San Antonio |
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| Graduation Year : | 2001 |
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| Accepts Medicare? | Yes. Annie Seapan Mack accepts medicare insurance. |
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Group Practice Association:
Annie Seapan Mack is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Annie Seapan Mack is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Advanced Internal Medicine Group Pc | 7214235258 | 5 | 9555 Sw Barnes Rd
Suite 255
Portland, OR - 972256654
Ph: 5039081590 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Annie Seapan Mack are as mentioned. Primary taxonomy code for Annie Seapan Mack, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207R00000X | Internal Medicine | No | MD27041 | OR |
| 208000000X | Pediatrics | Yes | MD27041 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Annie Seapan Mack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 500633407 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 3158
Portland, OR, 97208-3158
United States |
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| Phone Number : | 503-215-6494 |
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Business Location:
Patients can refer following map for directions to
Annie Seapan Mack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.