Mario Casey Pacheco, MD
Mario Casey Pacheco, MD is a Family Practice in Portland, Oregon. Qualified in 2021, 5 years ago. Practices with South Tabor Family Physicians, a 10-clinician group and accepts Medicare assignment. Licensed in Oregon and Texas.
- Years since qualifying
- 5
- Licensed in
- OR, TX
- In the registry since
- 2021
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10803 SE Cherry Blossom DrPortland, OR 97216-3107
Phone: (503) 261-7200
Fax: (503) 261-7249
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD218889 (OR) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence U6045 (TX) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1851979348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 29, 2021 |
| Last updated in NPPES | August 21, 2024 |
| Certification date | October 20, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | South Tabor Family Physicians — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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