Northwest Permanente, P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST PERMANENTE, P.C.

Practice address

500 NE Multnomah St
Suite 100
Portland, OR 97232-2023

Phone

(503) 813-3860

Fax

(503) 813-3889

NPI assigned

Oct 30, 2008

Last updated

Jan 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Stratton, JD

Title

Director, Erm and Senior Counsel

Phone

(971) 990-9172

Specialties & licenses 4

Addresses

Other names 1

• Northwest Permanente PC Other name

Electronic endpoints 1

Tax ID family

Permanente Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest Permanente

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1750592754
  NPD tax ID

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1023261286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322023",
            "telephone_number": "503-813-3860",
            "fax_number": "503-813-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322023",
            "telephone_number": "503-813-3860",
            "fax_number": "503-813-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PERMANENTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "STRATTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR, ERM AND SENIOR COUNSEL",
        "authorized_official_telephone_number": "971-990-9172",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "500 NE Multnomah St Ste 100",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972322031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Northwest Permanente PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Northwest Permanente PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Northwest Pediatric Critical Care PC
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• Northwest Pediatric Kidney Specialists LLC
• Northwest Periodontics and Dental Implants LLC
• Northwest Permanente
• Northwest Physical Therapy Care, LLC
• Northwest Primary Care Group PC
• Northwest Primary Care Group PC (Northwest Therapy)
• Northwest Psychiatric Group, PC
• Northwest Recovery Services LLC (A Better Today)

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.