Look up the most recent NPI and PECOS records

Robert Alan Maricle

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

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

PECOS Enrollment

Based on the most recent information from CMS, provider Robert Alan Maricle does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346347119
Provider Type
Individual
Full Name
Maricle, Robert Alan
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

4115 SW Nehalem Ct, Portland, OR 97239-1565

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD10209 Oregon

Provider Identifiers

ID	Description	Issuer
ID 286153	Description Medicaid	Issuer Unlisted Oregon

Robert Alan Maricle

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

Hanson, Timothy Keith

D'Souza, Neisha Ann

Dunaway, Kristen Marie

Collumb, Elizabeth Kathleen

Corvallis Psychiatry Llc

Bloom, Joseph David

Allahyar, Arrash

Fireman, Marian

Archer, Anthony Miles

Beckman, Morgyn