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Teardaad Makarachi

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

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

PECOS Enrollment

Based on the most recent information from CMS, provider Teardaad Makarachi 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 3 days ago.

Profile Details

Provider ID
1659883551
Provider Type
Individual
Full Name
Makarachi, Teardaad
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
11/1/2017
Last Updated
8/7/2024

Contact Information

Practice Location

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

(503) 494-3442

(503) 494-5330

Mailing Location

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

(503) 494-3442

(503) 494-5330

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA185111 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA185111 Oregon

Teardaad Makarachi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Kuzma, Laura

Taylor, Anne Miriam

Krebsbach, Angela L

Weis, Nicole

Myers, Lauren Elizabeth

Lumbad, Anthony

Kelly, Nicole

Hill, Anya

Aby-Daniel, Diana

Keller, Kelly Rene