Dr Raisa Premysler, MD - General Practice in Portland, OR

Dr Raisa Premysler, MD is a General Practice physician based in Portland, Oregon. Dr Raisa Premysler is licensed to practice in Oregon (license number MD15738) and her current practice location is 426 Sw Stark St, 8th Floor, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 988-3674.

NPI number for Dr Raisa Premysler is 1407908650 and her current mailing address is 421 Sw Oak St, 210, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407908650.

Contact Information

Dr Raisa Premysler, MD
426 Sw Stark St, 8th Floor,
Portland, OR 97204-2347
(503) 988-3674
(503) 988-6905



Physician's Profile

Full NameDr Raisa Premysler
GenderFemale
SpecialityGeneral Practice
Location426 Sw Stark St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1407908650
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 12/18/2009

Medical Identifiers

Medical identifiers for Dr Raisa Premysler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407908650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice MD15738 (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 Raisa Premysler 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 Raisa Premysler, MD
421 Sw Oak St, 210,
Portland, OR 97204-1817

Ph: (503) 988-3674
Dr Raisa Premysler, MD
426 Sw Stark St, 8th Floor,
Portland, OR 97204-2347

Ph: (503) 988-3674

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General Practice Doctors in Portland, OR

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Practice Location: 8353 Se Clatsop Ct, Portland, OR 97266
Phone: 505-604-3810    

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