Provider Demographics
NPI:1598767147
Name:CECH, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:CECH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6420 SW MACADAM AVE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3507
Mailing Address - Country:US
Mailing Address - Phone:503-244-8601
Mailing Address - Fax:503-244-3013
Practice Address - Street 1:18345 SW ALEXANDER ST
Practice Address - Street 2:SUITE A
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97006-3960
Practice Address - Country:US
Practice Address - Phone:503-642-2505
Practice Address - Fax:503-649-9556
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2013-05-29
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Provider Licenses
StateLicense IDTaxonomies
ORMD13607207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR149583Medicaid
OR180022039OtherRAILROAD MEDICARE
ORC91223Medicare UPIN
OR018WCQKSCMedicare PIN