Active NPI
Stephen Rubinmd PC
- Surgery Physician
- Beaverton, OR
National Provider Identifier
1174558779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD09620
- Legal business name
- STEPHEN RUBINMD PC
- Practice address
- 8950 SW Nimbus Ave
150
Beaverton, OR 97008-7478 - Phone
- (503) 697-3255
- Fax
- (503) 697-7792
- NPI assigned
- Jul 11, 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
- Stephen Rubin, MD
- Title
- President
- Phone
- (503) 697-3255
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD09620 | OR | Primary |
Addresses
Primary practice location
8950 SW Nimbus Ave
150
Beaverton, OR 97008-7478
Mailing address
8950 SW Nimbus Ave
150
Beaverton, OR 97008-7478
Phone (503) 697-3255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022775 | Medicaid | OR |
Other names 1
- OREGON BREAST CENTER
National Provider Directory
National Provider DirectoryLocations
8950 SW Nimbus Ave
Ste 150
Beaverton, OR 97008
Phone (503) 697-3255
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Beaverton, OR
- NPI 1598709925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174558779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 SW NIMBUS AVE",
"address_2": "150",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087478",
"telephone_number": "503-697-3255",
"fax_number": "503-697-7792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 SW NIMBUS AVE",
"address_2": "150",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087478",
"telephone_number": "503-697-3255",
"fax_number": "503-697-7792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN RUBINMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-697-3255",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "OR",
"license": "MD09620",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022775",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OREGON BREAST CENTER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Beaverton, 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.