Organization Active NPI

Eastmoreland Orthopedic Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1053578484
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DO06594 Issued in OR
Legal business name
EASTMORELAND ORTHOPEDIC CLINIC, P.C.
Practice address
5225 SE 28TH Ave
Portland, OR 97202-4506
Phone
(503) 234-0891
Fax
(503) 234-4059
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Robert W.H. Ho, D.O.
Title
President
Phone
(503) 234-0891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X DO06594 OR Primary

Addresses

Primary practice location

5225 SE 28TH Ave
Portland, OR 97202-4506

Mailing address

5225 SE 28TH Ave
Portland, OR 97202-4506
Phone (503) 234-0891

Other identifiers 2

IdentifierTypeStateIssuer
004312001OtherORREGENCE BLUE CROSS BLUE SHIELD
083998MedicaidOR

National Provider Directory

National Provider Directory

Locations

5225 SE 28th Ave
Portland, OR 97202
Phone (503) 234-0891

Practitioners & affiliated clinicians

Practitioners 1

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1053578484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024506",
            "telephone_number": "503-234-0891",
            "fax_number": "503-234-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024506",
            "telephone_number": "503-234-0891",
            "fax_number": "503-234-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTMORELAND ORTHOPEDIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-234-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "DO06594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE CROSS BLUE SHIELD",
            "identifier": "004312001",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083998",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 22, 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.