Organization Active NPI

Oregon City Family Practice Clinic,P.C.

  • Family Medicine Physician
  • Oregon City, OR
National Provider Identifier
1043434053
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2O7Q00000X Issued in OR
Legal business name
OREGON CITY FAMILY PRACTICE CLINIC,P.C.
Practice address
1420 John Adams St
Oregon City, OR 97045-1609
Phone
(503) 656-1484
Fax
(503) 650-1976
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Authorized official

Name
Kari Sporrer
Title
Office Manager
Phone
(503) 656-1484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2O7Q00000X OR Primary

Addresses

Primary practice location

1420 John Adams St
Oregon City, OR 97045-1609

Mailing address

1420 John Adams St
Oregon City, OR 97045-1609
Phone (503) 656-1484

National Provider Directory

National Provider Directory

Locations

1420 John Adams St
Oregon City, OR 97045
Phone (503) 655-7235

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1043434053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451609",
            "telephone_number": "503-656-1484",
            "fax_number": "503-650-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451609",
            "telephone_number": "503-656-1484",
            "fax_number": "503-650-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON CITY FAMILY PRACTICE CLINIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "SPORRER",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-656-1484"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "2O7Q00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.