NPIMap

Organization Active NPI

Careoregon Community Health, LLC

  • Family Medicine Physician
  • Beaverton, OR
National Provider Identifier
1053630491
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREOREGON COMMUNITY HEALTH, LLC
Practice address
17175 SW Tualatin Valley Hwy
Suite B-2
Beaverton, OR 97006-4584
Phone
(503) 848-5861
Fax
(503) 848-5863
NPI assigned
May 25, 2010
Organization subpart
Yes
Parent organization
CAREOREGON, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
James M. Schroeder, PANPI 1780630202
Title
Executive Director
Phone
(503) 416-5764

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

17175 SW Tualatin Valley Hwy
Suite B-2
Beaverton, OR 97006-4584

Mailing address

315 SW 5TH Ave Ste 900
Portland, OR 97204-1739
Phone (503) 416-4100

National Provider Directory

National Provider Directory
Part of
Careoregon

Locations

1185 S Elm St
Canby, OR 97013
Phone (503) 416-4547

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1053630491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SW 5TH AVE STE 900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041739",
            "telephone_number": "503-416-4100",
            "fax_number": "503-416-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17175 SW TUALATIN VALLEY HWY",
            "address_2": "SUITE B-2",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064584",
            "telephone_number": "503-848-5861",
            "fax_number": "503-848-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREOREGON COMMUNITY HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREOREGON, INC",
        "enumeration_date": "2010-05-25",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-416-5764",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; 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.