Active NPI
Irina A McGaughey, LE
- Specialist
- Portland, OR
National Provider Identifier
1215536560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- BAP-E-10160251
- Practice address
- 610 SW Alder St Ste 920
Portland, OR 97205-3610 - Phone
- (503) 227-6050
- Fax
- (503) 227-6050
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | BAP-E-10160251 | OR | Primary |
Addresses
Primary practice location
610 SW Alder St Ste 920
Portland, OR 97205-3610
Mailing address
610 SW Alder St Ste 920
Portland, OR 97205-3610
Phone (503) 227-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BAP-E-10160251 | Other | OR | ELECTROLOGIST LICENSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BAP-E-10160251 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1215536560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SW ALDER ST STE 920",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053610",
"telephone_number": "503-227-6050",
"fax_number": "503-227-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SW ALDER ST STE 920",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972053610",
"telephone_number": "503-227-6050",
"fax_number": "503-227-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAUGHEY",
"first_name": "IRINA",
"middle_name": "A",
"credential": "LE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "BAP-E-10160251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELECTROLOGIST LICENSING",
"identifier": "BAP-E-10160251",
"state": "OR"
}
],
"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 Oct 19, 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.