NPIMap

Organization Active NPI

Dr Bob Health Centre

  • Pulmonary Disease Physician
  • Beaverton, OR
National Provider Identifier
1053754069
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17321 Issued in OR
Legal business name
DR BOB HEALTH CENTRE
Practice address
16325 SW Sexton Mountain Dr
Beaverton, OR 97007
Phone
(503) 268-1631
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Robert Lee Oksenholt, DO
Title
Physcian
Phone
(503) 432-5124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 17321 OR Primary

Addresses

Primary practice location

16325 SW Sexton Mountain Dr
Beaverton, OR 97007

Mailing address

3489 NW Highway 101
Lincoln City, OR 97367
Phone (503) 432-5124

Other identifiers 1

IdentifierTypeStateIssuer
050034MedicaidOR

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/85966690-f0af-4f43-9fef-36dfaadaf204/

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1053754069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 NW HIGHWAY 101",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "97367",
            "telephone_number": "503-432-5124",
            "fax_number": "541-994-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 SW SEXTON MOUNTAIN DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97007",
            "telephone_number": "503-268-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BOB HEALTH CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "OKSENHOLT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "503-432-5124",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "17321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050034",
            "state": "OR"
        }
    ],
    "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 Apr 9, 2013; 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.