Pathoc LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

PATHOC LLC

Practice address

17020 SW Upper Boones Ferry Rd Ste 102
Portland, OR 97224-7078

Phone

(818) 307-6322

NPI assigned

May 1, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Amir-Brownstein, OTR/LNPI 1295485233

Title

OT

Phone

(818) 307-6322

Specialties & licenses 1

Addresses

Other names 1

• PATHOC Pelvic Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Denov Amir-Brownstein, OTR/L, OTD

  • Neurorehabilitation Occupational Therapist
  • Portland, OR
  • NPI 1295485233
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1003663600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 SW TAYLORS FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238951",
            "telephone_number": "818-307-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 SW UPPER BOONES FERRY RD STE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247078",
            "telephone_number": "818-307-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "AMIR-BROWNSTEIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OT",
        "authorized_official_telephone_number": "818-307-6322",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATHOC Pelvic Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eva B Patil, M.D.
• Siddu Patil, M.D.

• Medical Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.