NPIMap

Organization Active NPI

Gerald B Rich MD PC

  • Sleep Medicine (Internal Medicine) Physician
  • Portland, OR
National Provider Identifier
1043693864
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
MD22150 Issued in OR
Legal business name
GERALD B RICH MD PC
Practice address
11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935
Phone
(503) 228-4414
Fax
(503) 228-7293
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Dr. Radhika Sekhri Breaden, MDNPI 1154462257
Title
Medical Director
Phone
(503) 228-4414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X MD22150 OR Primary

Addresses

Primary practice location

11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935

Mailing address

11790 SW Barnes Rd Ste 330
Portland, OR 97225-5935
Phone (503) 228-4414

Other practice location 1

2120 Exchange St Ste 302
Astoria, OR 97103-3364
Phone (503) 325-3126

Other names 1

  • PACIFIC SLEEP PROGRAM Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1043693864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-228-4414",
            "fax_number": "503-228-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW BARNES RD STE 330",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255935",
            "telephone_number": "503-228-4414",
            "fax_number": "503-228-7293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Exchange St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971033364",
            "country_code": "US",
            "telephone_number": "503-325-3126",
            "fax_number": "503-228-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERALD B RICH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "BREADEN",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_middle_name": "SEKHRI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-228-4414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "OR",
            "license": "MD22150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC SLEEP PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PACIFIC SLEEP PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.