Active NPI
Cascade Orthopaedic Group, P.C.
- Orthopaedic Surgery Physician
- Tualatin, OR
National Provider Identifier
1104153428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0000BHHZN | Other | OR | MEDICARE PTAN |
| 200002070 | Other | MEDICARE 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.