Eliza Oh, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

MD24754 Issued in OR

Practice address

1800 Blankenship Rd
Ste 475
West Linn, OR 97068-4248

Phone

(503) 344-6065

Fax

(503) 344-6065

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cascade Infectious Diseases and Infusion LLC

  dba Cascade ID and Infusion LLC

  • Infusion Therapy Clinic/Center
  • Salem, OR
  • NPI 1639403330
  NPD (past)
• Salem Health

  • General Acute Care Hospital
  • Salem, OR
  • NPI 1265431829
  NPD (past)
• WMC Operating Company, LLC

  dba Heartwood Place Memory Care

  • Alzheimer Center (Dementia Center)
  • Woodburn, OR
  • NPI 1205452638
  NPD (past)
• Care Group LLC

  • Cardiovascular Disease Physician
  • Indianapolis, IN
  • NPI 1649220195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1518041763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 S RIVERDALE RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972198187",
            "telephone_number": "503-409-9024",
            "fax_number": "503-212-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD",
            "address_2": "STE 475",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684248",
            "telephone_number": "503-344-6065",
            "fax_number": "503-344-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD24754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274876",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Eli Novak, PHD, MSW, LCSW
• Nursewise Delegations, LLC (NurseWise)
• Joy Nussen, LMFT
• Bridget Theresa O'Boyle-Jordan, CPNP
• Nina O'Mailia, PA-C
• Paul Adam Olenginski, RPH
• Jaimin Olsen-Kacalek
• Kaylene Lauren Olson, P.T.
• Julia Opalnik, DMD
• Open Hands Massage Therapy, LLC

• Geriatric Medicine (Internal Medicine) Physician in West Linn, OR
• Providers in West Linn, OR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.