Northwest Primary Care Group PC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

NORTHWEST PRIMARY CARE GROUP PC

Practice address

16144 SE Happy Valley Town Center Dr Ste 101
Happy Valley, OR 97086-4257

Phone

(503) 353-1272

Fax

(503) 654-4815

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Whitbeck

Title

Administrator

Phone

(503) 659-4777

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Northwest Sleep Health Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/30939/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1023032372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22075",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972692075",
            "telephone_number": "503-659-4777",
            "fax_number": "503-652-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16144 SE HAPPY VALLEY TOWN CENTER DR STE 101",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864257",
            "telephone_number": "503-353-1272",
            "fax_number": "503-654-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PRIMARY CARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITBECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-659-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022990",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP PTAN",
            "identifier": "CE8055",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Sleep Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Sleep Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victoria Nguyen, PHARM.D
• Lynn Marie Nishida, RPH
• Johnny Nolan, DO
• Northland Hearing Centers, Inc.
• Northwest Extremity Specialists LLC
• Northwest Primary Care Group PC
• Northwest Primary Care Group, PC
• Kevin E Nufer, MD
• Karla June Nussbaum, IBCLC
• NW Health & Wellness, LLC

• Sleep Disorder Diagnostic Clinic/Center in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Sleep Disorder Diagnostic Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.