NPIMap

Organization Active NPI

Cascade Occupational Medicine Physicians Inc

  • Occupational Medicine Clinic/Center
  • Hillsboro, OR
National Provider Identifier
1124159819
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
CASCADE OCCUPATIONAL MEDICINE PHYSICIANS INC
Practice address
1200 NE 48TH Ave
Suite 700
Hillsboro, OR 97124-4904
Phone
(503) 726-1022
Fax
(503) 726-1039
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Rogers Braddock, M.D.NPI 1225176324
Title
Ceo Medical Director
Phone
(503) 635-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

1200 NE 48TH Ave
Suite 700
Hillsboro, OR 97124-4904

Mailing address

PO Box 1548
Lake Oswego, OR 97035-0748
Phone (503) 635-1960

National Provider Directory

National Provider Directory
Tax ID family
Cascade Occupational Medicine Physicians Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124159819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970350748",
            "telephone_number": "503-635-1960",
            "fax_number": "503-635-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NE 48TH AVE",
            "address_2": "SUITE 700",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971244904",
            "telephone_number": "503-726-1022",
            "fax_number": "503-726-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE OCCUPATIONAL MEDICINE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADDOCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "CEO MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-635-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.