Active NPI
Aaron Spracklen DO PC
- Anesthesiology Physician
- La Grande, OR
National Provider Identifier
1134164080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- AARON SPRACKLEN DO PC
- Practice address
- 900 Sunset Dr
La Grande, OR 97850-1362 - Phone
- (541) 963-8421
- NPI assigned
- Jun 17, 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
- Aaron L Spracklen, MD
- Title
- President
- Phone
- (503) 372-2740
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
900 Sunset Dr
La Grande, OR 97850-1362
Mailing address
PO Box 4008
Portland, OR 97208-4008
Phone (503) 372-2740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB1788 | Other | OR | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- La Grande, OR
- NPI 1235174947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1134164080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4008",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084008",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SUNSET DR",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978501362",
"telephone_number": "541-963-8421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AARON SPRACKLEN DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-17",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "SPRACKLEN",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-372-2740",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB1788",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.