Mt. Scott Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MT. SCOTT MEDICAL GROUP LLC

Practice address

9200 SE 91St Ave
Ste 300
Portland, OR 97086-3756

Phone

(503) 236-3443

Fax

(503) 236-3501

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Katherine L Fisher, DONPI 1568576940

Title

Physician

Phone

(503) 234-3443

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Katherine L Fisher, DO

  • Internal Medicine Physician
  • Happy Valley, OR
  • NPI 1568576940
  NPD (past) Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1033223441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-236-3443",
            "fax_number": "503-236-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-236-3443",
            "fax_number": "503-236-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. SCOTT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-234-3443",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286451",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mt Rose Acupuncture LLC
• Mt Tabor SNF Operations LLC
• Mt. Hood Ear, Nose & Throat PC
• Mt. Hood Hearing Aid Center, Inc.
• Mt. Hood Imaging, LLC
• Mt. Scott Sleep Medicine, Inc.
• Mt. Tabor Family Medical Group, P.C.
• Mt. Tabor Family Medical Group, PC
• Mta Homes at St. Andrews LLC
• MTN. Retreat Secured Transport

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.