Portland Otologic Clinic PC

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

MD06685 Issued in OR

Legal business name

PORTLAND OTOLOGIC CLINIC PC

Doing business as

John M Epley MD

Practice address

545 NE 47TH Ave Ste 212
Portland, OR 97213-2237

Phone

(503) 233-5925

Fax

(503) 233-6140

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Macnaughton Epley, MD

Title

Owner

Phone

(503) 233-5925

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John M Epley MD Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheryl Janine Williams, PA-C

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1619968187
  NPD (past)
• Seth H Wittner, PA C

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1609812973
  NPD (past)

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1245419969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 NE 47TH AVE STE 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132237",
            "telephone_number": "503-233-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 NE 47TH AVE STE 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132237",
            "telephone_number": "503-233-5925",
            "fax_number": "503-233-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND OTOLOGIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "EPLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MACNAUGHTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-233-5925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "OR",
            "license": "MD06685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027713",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John M Epley MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Otology & Neurotology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Otology & Neurotology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.