NPIMap

Organization Active NPI

Gresham Troutdale Family Medical Center PC

  • Family Medicine Physician
  • Troutdale, OR
National Provider Identifier
1225184674
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRESHAM TROUTDALE FAMILY MEDICAL CENTER PC
Practice address
1700 SW 257TH Ave
Troutdale, OR 97060-1900
Phone
(503) 491-2422
Fax
(503) 491-2434
NPI assigned
Jan 26, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Gregory Michael Knopf, MDNPI 1508837378
Title
Medical Director
Phone
(503) 491-2422

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1700 SW 257TH Ave
Troutdale, OR 97060-1900

Mailing address

PO Box 730
Troutdale, OR 97060-0730
Phone (503) 491-2422

Other identifiers 1

IdentifierTypeStateIssuer
228757MedicaidOR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225184674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970600730",
            "telephone_number": "503-491-2422",
            "fax_number": "503-491-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 SW 257TH AVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601900",
            "telephone_number": "503-491-2422",
            "fax_number": "503-491-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM TROUTDALE FAMILY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KNOPF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-491-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228757",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutdale, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.