Active NPI
Scott M Murray, MD
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1063504397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15084
- Practice address
- 2330 NW Flanders St
Suite 107
Portland, OR 97210-3400 - Phone
- (503) 252-0322
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15084 | OR | Primary |
Addresses
Primary practice location
2330 NW Flanders St
Suite 107
Portland, OR 97210-3400
Mailing address
2330 NW Flanders St
Suite 107
Portland, OR 97210-3400
Phone (503) 252-0322
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00087979 | Other | RAILROAD MEDICARE | |
| 148924 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15084 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1063504397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 NW FLANDERS ST",
"address_2": "SUITE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103400",
"telephone_number": "503-252-0322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 NW FLANDERS ST",
"address_2": "SUITE 107",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103400",
"telephone_number": "503-252-0322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "SCOTT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "15084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00087979",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148924",
"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 Apr 16, 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.