Dr Jenny Lara Semadeni Malcom, MD - Pediatrics in Gresham, OR

Dr Jenny Lara Semadeni Malcom, MD is a Pediatrics physician based in Gresham, Oregon. Dr Jenny Lara Semadeni Malcom is licensed to practice in Oregon (license number MD157635) and her current practice location is 24988 Se Stark St, Suite 200, Gresham, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 667-8878.

NPI number for Dr Jenny Lara Semadeni Malcom is 1710120845 and her current mailing address is 24988 Se Stark St, Suite 200, Gresham, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710120845.

Contact Information

Dr Jenny Lara Semadeni Malcom, MD
24988 Se Stark St, Suite 200,
Gresham, OR 97030-8322
(503) 667-8878
Not Available



Physician's Profile

Full NameDr Jenny Lara Semadeni Malcom
GenderFemale
SpecialityPediatrics
Location24988 Se Stark St, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710120845
  • Provider Enumeration Date: 04/20/2009
  • Last Update Date: 09/26/2012

Medical Identifiers

Medical identifiers for Dr Jenny Lara Semadeni Malcom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710120845NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD157635 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jenny Lara Semadeni Malcom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jenny Lara Semadeni Malcom, MD
24988 Se Stark St, Suite 200,
Gresham, OR 97030-8322

Ph: (503) 667-8878
Dr Jenny Lara Semadeni Malcom, MD
24988 Se Stark St, Suite 200,
Gresham, OR 97030-8322

Ph: (503) 667-8878

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Pediatrics Doctors in Gresham, OR

Nicki Nabavizadeh, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25050 Se Stark St Ste 300, Gresham, OR 97030
Phone: 503-667-8878    
Dr. Julia W Mason, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Suite 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834
Dr. John Anthony Calcagno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834
Alexander Herman Lau, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 25050 Se Stark St, Ste 300, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Stephanie Sari, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St Ste 200, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Mary A Egsieker, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24988 Se Stark St, Ste 200, Gresham, OR 97030
Phone: 503-667-8878    Fax: 503-667-0310
Dr. Frank Anthony Calcagno, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 24850 Se Stark St, Ste 150, Gresham, OR 97030
Phone: 503-491-0714    Fax: 503-674-2834

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