Active NPI
Steven Zack PC
- Anesthesiology Physician
- Tualatin, OR
National Provider Identifier
1174707715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- STEVEN ZACK PC
- Practice address
- 19300 SW 65TH Ave
Tualatin, OR 97062-7706 - Phone
- (503) 692-1212
- NPI assigned
- Dec 18, 2007
- Last updated
- Mar 7, 2008
- 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
- Steven Zack, MD
- Title
- President
- Phone
- (503) 372-2740
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Mailing address
PO Box 4008
Portland, OR 97208-4008
Phone (503) 372-2740
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, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Tualatin, OR
- NPI 1558398578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1174707715",
"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": "19300 SW 65TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627706",
"telephone_number": "503-692-1212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN ZACK PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-18",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "ZACK",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-372-2740",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.