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George Alan Keepers

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

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

PECOS Enrollment

This provider is enrolled in PECOS as GEORGE KEEPERS.

Based on the most recent information from CMS, provider George Alan Keepers 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
1619982105
Provider Type
Individual
Full Name
Keepers, George Alan
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/31/2006
Last Updated
8/12/2011

Contact Information

Practice Location

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

(503) 494-8617

Unlisted Fax

Mailing Location

4616 SW Patton Rd, Portland, OR 97221-3147

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD11390 Oregon

Provider Identifiers

ID	Description	Issuer
ID 280412	Description Medicaid	Issuer Unlisted Oregon

George Alan Keepers

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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Beckman, Morgyn

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Laporte, Justin

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Kesserwani, Christie

Griebeler, Meridith Amanda

Haupt, Daniel W

Matteucci, Neil Arthur

Espana, Karina Rae