Robert Jason Coryell
MD | Pediatrics | Male
Robert Jason Coryell, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Robert Jason Coryell is
707 Sw Gaines St, Mc: Cdrc-p, Portland, Oregon - 97239-2901. He can be contacted on phone at
503-494-5856.
Robert Jason Coryell is a sole proprietor of his business.
NPI number (Unique professional ID) for Robert Jason Coryell is
1619082070 which was assigned by NPPES on 19 Aug, 2006 and it was last updated on 14 Aug, 2014.
Robert Jason Coryell license number is
ML20008670 for Pediatrics (208000000X) in Washington.
Robert Jason Coryell 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:
Robert Jason Coryell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Robert Jason Coryell |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Robert Jason Coryell 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 : | 707 Sw Gaines St, Mc: Cdrc-p
Portland, OR, 97239-2901
United States |
|---|
| Phone Number : | 503-494-5856 |
|---|
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 : | 1619082070 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 19 Aug, 2006 |
|---|
| Last Updated On : | 14 Aug, 2014 |
|---|
Medicare Participation:
Robert Jason Coryell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3779746821 |
|---|
| Medicare Enrollment ID : | I20120530000067 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Oregon Health Sciences University School Of Medicine |
|---|
| Graduation Year : | 2006 |
|---|
| Accepts Medicare? | Yes. Robert Jason Coryell accepts medicare insurance. |
|---|
Group Practice Association:
Robert Jason Coryell 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 Robert Jason Coryell is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Oregon Health And Sciences University/university Medical Group | 4880760107 | 1435 | 3181 Sw Sam Jackson Park Rd
Portland, OR - 972393011
Ph: 5034948311 | 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 Robert Jason Coryell are as mentioned. Primary taxonomy code for Robert Jason Coryell, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ML20008670 | WA |
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 : | 707 Sw Gaines St, Mc: Cdrc-p
Portland, OR, 97239-2901
United States |
|---|
| Phone Number : | 503-494-5856 |
|---|
Business Location:
Patients can refer following map for directions to
Robert Jason Coryell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.