Sodasavanh Khamsoukthavong has Certified Clinical Nurse Specialist (cns) as her primary medical specialty. Their primary office is: 501 N Graham St in Portland, Oregon.
There is an additional office location, for a total of two, for Sodasavanh Khamsoukthavong that can be viewed further down.
They're a part of the: Legacy Clinics Llc medical group which has around 615 members. You can call their office at 503-413-4710 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2004 (around 20 years of experience). They are listed as doing telehealth appointments.
Sodasavanh Khamsoukthavong
Legacy Clinics Llc
501 N Graham St
Portland, Oregon 97227
503-413-4710
Phone: 503-413-4710
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2004
The Primary Medical Specialty for Sodasavanh Khamsoukthavong is listed as: Certified Clinical Nurse Specialist (cns)
Approximate Years of Experience: 20
PAC (PECOS ID)#: 9133480239
NPI #: 1508212283
NPI Created On: 05/11/2016
NPI Last Updated Listed as: 12/21/2018
Primary Taxonomy Code: 364S00000X
License Number:
200570006CNS
Listed Gender: Female
Forms of insurance accepted by include, but are not limited to:
They are listed as accepting new patients.
Languages spoken by staff include: English.
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $23
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 777687587
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: STRUCTURAL HEART
Name of Drug #1: WATCHMAN
Payments Total: $14
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Record ID:: 827336103
Being Disputed:: No
Product Related: Yes
Drug or Biological: Device
Product Category #1: Pacemakers
Name of Drug #1: Micra
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 814489075
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: CARDIOVASCULAR
Name of Drug #1: ENTRESTO
Open Associated Drug #1: 0078-0659-20
Payments Total: $16
Number of Payments:: 1
Form of Payment: In-kind items and services
Ownership Interest:
Third party is a Charity:: No
Context of payment:: Educational Program
Record ID:: 829806003
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: Cardiovascular and Metabolism
Name of Drug #1: FARXIGA
Open Associated Drug #1: 0310-6205-30
1. Legacy Salmon Creek Hospital
2121 Ne 139th St
Vancouver, WA 98686
Suite 360
Group Members: 233
Phone: 503-413-4710
Enter a starting address:
1130 Nw 22nd Ave
Portland, OR
Legacy Clinics Llc
2801 N Gantenbein Ave
Portland, OR
Legacy Clinics Llc
501 N Graham St
Portland, OR
Legacy Clinics Llc
1200 Nw 23rd Ave
Portland, OR
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19300 Sw 65th Ave
Portland Or 97062-7706
Legacy Clinics Llc
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19250 Sw 65th Ave
Tualatin Or 97062-7747
Legacy Clinics Llc
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1130 Nw 22nd Ave
Portland Or 97210-2969
Legacy Clinics Llc
Cardiac Electrophysiology
1015 Nw22nd Ave
Portland Or 97210-3025
Legacy Clinics Llc
Cardiac Electrophysiology
1015 Nw 22nd Ave
Portland Or 97210-3025
Legacy Clinics Llc
Cardiac Electrophysiology
2801 N Gantenbein Ave
Portland Or 97227-1623
Legacy Clinics Llc
Cardiac Electrophysiology
View all 615 members of Legacy Clinics Llc medical group