NPIMap

Organization Active NPI

Oregon City Medical, NW

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1174947196
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OREGON CITY MEDICAL, NW
Practice address
800 SE 181St Ave
Portland, OR 97233-4995
Phone
(503) 489-9500
NPI assigned
Feb 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lauren Andrada
Title
Office Manager
Phone
(503) 656-9030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

800 SE 181St Ave
Portland, OR 97233-4995

Mailing address

800 SE 181St Ave
Portland, OR 97233-4995
Phone (503) 489-9500

Other names 1

  • Gresham Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaverton Family Medicine3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1174947196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334995",
            "telephone_number": "503-489-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SE 181ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972334995",
            "telephone_number": "503-489-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON CITY MEDICAL, NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "ANDRADA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-656-9030"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gresham Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gresham Family Medicine",
            "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 Aug 1, 2019; 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.