Active NPI
Gastroenterology Associates PC
- Specialist
- Portland, OR
National Provider Identifier
1194786566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11209
- Legal business name
- GASTROENTEROLOGY ASSOCIATES PC
- Practice address
- 10000 SE Main St
Suite 203
Portland, OR 97216-2448 - Phone
- (503) 255-3054
- Fax
- (503) 255-7651
- NPI assigned
- Mar 28, 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
- Dr. Charles L Colip, MD
- Title
- President
- Phone
- (503) 255-3054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11209 | OR | Primary |
Addresses
Primary practice location
10000 SE Main St
Suite 203
Portland, OR 97216-2448
Mailing address
10000 SE Main St
Suite 203
Portland, OR 97216-2448
Phone (503) 255-3054
National Provider Directory
National Provider DirectoryLocations
10000 SE Main St
Ste 112
Portland, OR 97216
Phone (503) 255-3054
10000 SE Main St
Ste 203
Portland, OR 97216
Phone (503) 255-3054
417 SE 164th Ave
Ste 300
Vancouver, WA 98684
Phone (360) 256-4425
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Portland, OR
- NPI 1700883386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194786566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST",
"address_2": "SUITE 203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162448",
"telephone_number": "503-255-3054",
"fax_number": "503-255-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SE MAIN ST",
"address_2": "SUITE 203",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162448",
"telephone_number": "503-255-3054",
"fax_number": "503-255-7651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GASTROENTEROLOGY ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLIP",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-255-3054",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "11209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 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.