Organization Active NPI

City of Lake Oswego

  • Ambulance
  • Lake Oswego, OR
National Provider Identifier
1093277188
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Apr 5, 2019

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
O20210419002365 OR Part B Supplier - Mass Immunization (Roster Biller Only) 9133554264 Practice locations: Lake Oswego, OR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.