Emi A Koda
FAMILY MEDICAL GROUP NORTHEAST, P.C.


Address: 2647 Ne 33rd Ave, Portland, OR 97212-3647
Phone: 5032880083

Emi A Koda (NPI# 1619256021, PAC ID# 5799918421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1619256021
PAC ID by PECOS 5799918421
Professional Enrollment ID I20140829000576
Full Name Emi A Koda
Organization Legal Name FAMILY MEDICAL GROUP NORTHEAST, P.C.
Address 2647 Ne 33rd Ave
Portland
OR 97212-3647
Phone Number 5032880083
Gender F
Graduation Year 2011
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 2365430709
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330279 MERCY HOSPITAL OF BUFFALO
330078 SISTERS OF CHARITY HOSPITAL

Other Locations

Address Phone Organization
2647 Ne 33rd Ave, Portland, OR 97212-3647 5032880083 FAMILY MEDICAL GROUP NORTHEAST, P.C.

Organization Information

Organization Legal Name FAMILY MEDICAL GROUP NORTHEAST, P.C.
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Steven D Aguilu Family Practice Family Medical Group Northeast, P.C. 2647 Northeast 33rd Ave, Portland, OR 97212-3647
Jon F Peters Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Susan M Vockert-burke Nurse Practitioner Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Anne N Skinner Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Lonnie L Smucker Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Michael S Booker Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647

Office Location

Street Address 2647 NE 33RD AVE
City PORTLAND
State OR
Zip 97212-3647

Physicians in the same location

Name Specialty Organization Address
Jon F Peters Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Susan M Vockert-burke Nurse Practitioner Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Anne N Skinner Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Lonnie L Smucker Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647
Michael S Booker Family Medicine Family Medical Group Northeast, P.C. 2647 Ne 33rd Ave, Portland, OR 97212-3647

Physicians in the same zip code

Name Specialty Organization Address
Catherine E Kirkman Physical Therapy Therapeutic Associates Inc 4040 Ne Fremont St, Portland, OR 97212-1952
Caroline Hutcherson Physical Therapy Therapeutic Associates Inc 4040 Ne Fremont St, Portland, OR 97212-1952
Asiya Z Akhgar Physical Therapy Therapeutic Associates Inc 4040 Ne Fremont St, Portland, OR 97212-1952
Dawn S Whitman Psychologist, Clinical Western Psychological and Counseling Services PC 3500 Ne Mlk Blvd, Suite 200, Portland, OR 97212-2093
Scott Robert Kurita Optometry Pdx Eye and Vision Care LLC 2480 Ne Fremont St, Portland, OR 97212-2509
Christopher E Palmer Optometry Pdx Eye and Vision Care LLC 2480 Ne Fremont St, Portland, OR 97212-2509
Armando J Zelada Optometry 2480 Ne Fremont St, Portland, OR 97212-2509
Andrew D Rontal Neurology Providence Health and Services Washington 4101 Ne Stanton St, Portland, OR 97212-2959
Courtney L Vesely Nurse Practitioner Knott Street Dermatology PC 301 Ne Knott St, Portland, OR 97212-3014
Craig R Schultz Nurse Practitioner Knott Street Dermatology PC 301 Ne Knott St, Portland, OR 97212-3014
Find all physicians in zip 97212

Competitor

Search similar physicians

City PORTLAND
Zip Code 97212
Specialty FAMILY MEDICINE
City + Specialty PORTLAND + FAMILY MEDICINE

Improve Information

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Dataset Information

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.

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