Organization Active NPI

Stephen Rubinmd PC

  • Surgery Physician
  • Beaverton, OR
National Provider Identifier
1174558779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD09620 Issued in OR
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

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
Stephen Rubin, MDNPI 1598709925
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
022775MedicaidOR

Other names 1

  • OREGON BREAST CENTER Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.