Active NPI
Phoebe Rich, MD LLC
- Specialist
- Portland, OR
National Provider Identifier
1124199484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD14488
- Legal business name
- PHOEBE RICH, MD LLC
- Practice address
- 2565 NW Lovejoy St Ste 200
Portland, OR 97210-2996 - Phone
- (503) 226-3376
- Fax
- (503) 223-9561
- NPI assigned
- Nov 10, 2006
- 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
- Dr. Phoebe Rich, MD
- Title
- Owner
- Phone
- (503) 226-3376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD14488 | OR | Primary |
Addresses
Primary practice location
2565 NW Lovejoy St Ste 200
Portland, OR 97210-2996
Mailing address
2565 NW Lovejoy St Ste 200
Portland, OR 97210-2996
Phone (503) 226-3376
Other names 1
- Oregon Dermatology and Research Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2565 NW Lovejoy St
Ste 200
Portland, OR 97210
Phone (503) 226-3376
2222 NW Lovejoy St
Ste 419
Portland, OR 97210
Phone (503) 223-1933
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1205818101
-
- Dermatology Physician
- Portland, OR
- NPI 1316350804
-
- Physician Assistant
- Portland, OR
- NPI 1457743478
-
- Physician Assistant
- Portland, OR
- NPI 1407066806
-
- Dermatology Physician
- Tigard, OR
- NPI 1346289923
-
- Dermatology Physician
- Portland, OR
- NPI 1891435905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1124199484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 NW LOVEJOY ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102996",
"telephone_number": "503-226-3376",
"fax_number": "503-223-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 NW LOVEJOY ST STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102996",
"telephone_number": "503-226-3376",
"fax_number": "503-223-9561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOEBE RICH, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-10",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "PHOEBE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-226-3376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "MD14488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Dermatology and Research Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.