EBEID, AHMED (MD)

Provider Demographics

• NPI: 1851353502
• Name: EBEID, AHMED (MD)
• Entity Type: Individual
• Prefix: DR
• First Name: AHMED
• Last Name: EBEID
• Gender: M
• Credentials: MD
• Mailing Address - Street 1: 851 NE BAKER ST STE 1
• Mailing Address - City: MCMINNVILLE
• Mailing Address - State: OR
• Mailing Address - Zip Code: 97128-4991
• Mailing Address - Country: US
• Mailing Address - Phone: 503-474-3847
• Mailing Address - Fax: 503-474-4413
• Practice Address - Street 1: 17933 NW EVERGREEN PKWY STE 285
• Practice Address - City: BEAVERTON
• Practice Address - State: OR
• Practice Address - Zip Code: 97006-7513
• Practice Address - Country: US
• Practice Address - Phone: 503-828-9265
• Is Sole Proprietor?: Yes
• Enumeration Date: 2006-04-06
• Last Update Date: 2023-03-21

Provider Licenses

State	License ID	Taxonomies
OR	MD28743	207L00000X, 207LP2900X, 208VP0000X, 208VP0014X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	208VP0014X	Allopathic & Osteopathic Physicians	Pain Medicine	Interventional Pain Medicine
No	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology
No	207LP2900X	Allopathic & Osteopathic Physicians	Anesthesiology	Pain Medicine
No	208VP0000X	Allopathic & Osteopathic Physicians	Pain Medicine	Pain Medicine

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	23696-6	Other	BCBS
	30484	Other	NHP
	31700	Other	NHP
	97144003	Other	NETWORK HEALTH
	0028221	Other	NHP
	277051	Other	HPHC
	3977684	Other	AETNA
	AA64206	Other	HPHC
	216596	Other	TUFTS
MA	59338	Other	FHP
MA	AA36440	Other	HPHC
MA	201321529	Other	UNICARE
MA	20201504	Other	CHOICECARE
MA	202705274	Other	GREATWEST
	216596	Other	TUFTS
MA	AA47845	Other	HPHC
MA	3839502	Other	AETNA
RI	7010408	Medicaid
MA	000000030239	Other	HEALTHNET
NH	30207097	Medicaid
	31700	Other	NHP
	97144003	Other	NETWORK HEALTH
MA	J26688	Other	BCBS
MA	97144002	Other	NETWORK
MA	216596	Other	TUFTS
RI	30900	Other	BCBS
	3977684	Other	AETNA
RI	410136	Other	BLUE CHIP
MA	97144004	Other	NETWORK HEALTH
MA	AA33539	Other	HPHC
	AA64206	Other	HPHC
	23696-6	Other	BCBS
MA	5484552	Other	FIRST HEALTH
	97144003	Other	NETWORK HEALTH
MA	202705274	Other	GREATWEST
	31700	Other	NHP
RI	7010408	Medicaid
	23696-6	Other	BCBS
MA	216596	Other	TUFTS
MA	2025655	Medicaid