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Karina Rae Espana

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098

PECOS Enrollment

This provider is enrolled in PECOS as KARINA ESPANA.

Based on the most recent information from CMS, provider Karina Rae Espana is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003249459
Provider Type
Individual
Full Name
Espana, Karina Rae
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/20/2013
Last Updated
6/22/2023

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098

(503) 494-8311

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd # Uhn-80, Portland, OR 97239-3098

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD194140 Oregon
Code 2084P0804X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD194140 Oregon
Code 2084F0202X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD194140 Oregon

Karina Rae Espana

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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