Individual ProviderAllegra CondiottePsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011(503) 494-8311(503) 352-0468PECOS EnrollmentBased on the most recent information from CMS, provider Allegra Condiotte is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013477256Provider TypeIndividualFull NameCondiotte, AllegraTitleDr.CredentialMD, MHAGenderFemaleSole ProprietorNoEnumeration Date3/22/2019Last Updated3/14/2024Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011Phone(503) 494-8311FaxUnlisted FaxMailing LocationMailing Address10690 NE Cornell Rd Ste 315, Hillsboro, OR 97124-9224Phone(503) 352-0468FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseMD214099Oregon