Organization Active NPI

Cascade Orthopaedic Group, P.C.

  • Orthopaedic Surgery Physician
  • Tualatin, OR
National Provider Identifier
1104153428
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CASCADE ORTHOPAEDIC GROUP, P.C.
Practice address
6485 SW Borland Rd Ste a
Tualatin, OR 97062-9762
Phone
(503) 692-5483
Fax
(503) 691-2757
NPI assigned
Nov 6, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Jessica Wood Gibson
Title
Manager
Phone
(503) 692-5483

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

6485 SW Borland Rd Ste a
Tualatin, OR 97062-9762

Mailing address

6485 SW Borland Rd Ste a
Tualatin, OR 97062-9762
Phone (503) 692-5483

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
R0000BHHZNOtherORMEDICARE PTAN
200002070OtherMEDICARE RAILROAD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2017.

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1104153428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE A",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-692-5483",
            "fax_number": "503-691-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 SW BORLAND RD STE A",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629762",
            "telephone_number": "503-692-5483",
            "fax_number": "503-691-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ORTHOPAEDIC GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "WOOD GIBSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-692-5483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R0000BHHZN",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200002070",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.