Look up the most recent NPI and PECOS records

Joshin Adrald Luiz

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

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

PECOS Enrollment

This provider is enrolled in PECOS as JOSHIN LUIZ.

Based on the most recent information from CMS, provider Joshin Adrald Luiz 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 4 days ago.

Profile Details

Provider ID
1780026583
Provider Type
Individual
Full Name
Luiz, Joshin Adrald
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
7/22/2013
Last Updated
12/18/2020

Contact Information

Practice Location

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

(503) 494-8562

(503) 494-6324

Mailing Location

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

(503) 494-8562

(503) 494-6324

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA167747 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA167747 Oregon

Joshin Adrald Luiz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Rodgers, Dawn

Rozek, Jennifer Christine

Friberg, Whitni Nicole

Kading, Laura

Lyman, Alissa

Atwood, Ashley

Shears, Gayle Lauren

Bianchi, Jillian

Hartmann, Kerith J

Fillman, Reid Wilder