Active NPI
City of Lake Oswego
- Ambulance
- Lake Oswego, OR
National Provider Identifier
1093277188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF LAKE OSWEGO
- Practice address
- 4900 Melrose St
Lake Oswego, OR 97035-2336 - Phone
- (503) 697-7401
- NPI assigned
- Apr 5, 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
- Scott Vachter
- Title
- Battalion Chief
- Phone
- (503) 697-7401
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
4900 Melrose St
Lake Oswego, OR 97035-2336
Mailing address
PO Box 369
Lake Oswego, OR 97034-0369
Phone (503) 635-0275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | acreek@ci.oswego.or.us | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210419002365 | OR | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133554264 | Practice locations: Lake Oswego, OR |
National Provider Directory
National Provider DirectoryLocations
4555 Jean Rd
Lake Oswego, OR 97035
Phone (503) 635-0275
4900 Melrose St
Lake Oswego, OR 97035
Phone (503) 697-7400
1880 Southshore Blvd
Lake Oswego, OR 97034
Phone (503) 635-0275
300 B Ave
Lake Oswego, OR 97034
Phone (503) 635-0275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554422400000",
"number": "1093277188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970340369",
"telephone_number": "503-635-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MELROSE ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352336",
"telephone_number": "503-697-7401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LAKE OSWEGO",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-05",
"last_updated": "2019-04-05",
"status": "A",
"authorized_official_last_name": "VACHTER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "BATTALION CHIEF",
"authorized_official_telephone_number": "503-697-7401"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acreek@ci.oswego.or.us",
"affiliation": "N",
"endpointDescription": "Office Manager",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 B Ave",
"city": "Lake Oswego",
"state": "OR",
"country_code": "US",
"postal_code": "970349703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.