Organization Active NPI

Axis Heathcare

  • Preferred Provider Organization
  • Portland, OR
National Provider Identifier
1073762449
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
AXIS HEATHCARE
Practice address
10175 SW Barbur Blvd
Suite 105Ba
Portland, OR 97219-5908
Phone
(503) 245-4100
Fax
(503) 245-4722
NPI assigned
Sep 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Daniel D Beebe, DC
Title
President
Phone
(503) 245-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

10175 SW Barbur Blvd
Suite 105Ba
Portland, OR 97219-5908

Mailing address

10175 SW Barbur Blvd
Suite 105Ba
Portland, OR 97219-5908
Phone (503) 245-4100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1073762449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "SUITE 105BA",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-245-4100",
            "fax_number": "503-245-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SW BARBUR BLVD",
            "address_2": "SUITE 105BA",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195908",
            "telephone_number": "503-245-4100",
            "fax_number": "503-245-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS HEATHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-245-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 10, 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.