Active NPI
Northeast Oregon Surgical Clinic
- Surgery Physician
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD26075
- Legal business name
- NORTHEAST OREGON SURGICAL CLINIC
- Practice address
- 2474 S.W. Perkins Ave
Pendleton, OR 97801 - Phone
- (541) 966-1001
- Fax
- (541) 966-1195
- NPI assigned
- Dec 18, 2007
- Last updated
- Jan 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew L Bower, M.D.
- Title
- General Surgeon
- Phone
- (541) 966-1001
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD26075 | OR | Primary |
Addresses
Primary practice location
2474 S.W. Perkins Ave
Pendleton, OR 97801
Mailing address
2474 S. W. Perkins Ave
Pendleton, OR 97801
Phone (541) 966-1001
National Provider Directory
National Provider DirectoryLocations
1600 SE Court Pl
Ste 100
Pendleton, OR 97801
Phone (541) 966-1001
2474 SW Perkins Ave
Pendleton, OR 97801
Phone (541) 966-1001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Pendleton, OR
- NPI 1538250394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546905600000",
"number": "1053595603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 S. W. PERKINS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-966-1001",
"fax_number": "541-966-1195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 S.W. PERKINS AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-966-1001",
"fax_number": "541-966-1195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OREGON SURGICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2019-01-08",
"status": "A",
"authorized_official_last_name": "BOWER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "GENERAL SURGEON",
"authorized_official_telephone_number": "541-966-1001",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OR",
"license": "MD26075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.