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Richard Cameron U'Ren

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as RICHARD U'REN.

Based on the most recent information from CMS, provider Richard Cameron U'Ren 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
1063519841
Provider Type
Individual
Full Name
U'Ren, Richard Cameron
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/20/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-6176

Unlisted Fax

Mailing Location

1735 NW Irving St, Portland, OR 97209-2228

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD06739 Oregon

Provider Identifiers

ID	Description	Issuer
ID 203273	Description Medicaid	Issuer Unlisted Oregon

Richard Cameron U'Ren

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Fireman, Marian

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Howard, Lindsay

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Kinzie, John David