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Anthony Lumbad

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd # Bte119, Division Of Hospital Medicine, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Lumbad 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
1679965693
Provider Type
Individual
Full Name
Lumbad, Anthony
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
2/27/2015
Last Updated
10/11/2016

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd # Bte119, Division Of Hospital Medicine, Portland, OR 97239-3011

(503) 494-6101

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd # Bte119, Division Of Hospital Medicine, Portland, OR 97239-3011

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA179207 Oregon

Anthony Lumbad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gorski, Kirsten

Myers, Lauren Elizabeth

Holmes, Lauren Rebecca

Taylor, Anne Miriam

Ballard, Cody Lee

Kowalik, Julie M

Skolnik, Kevin

Friberg, Whitni Nicole

Kuzma, Laura

Rozek, Jennifer Christine