Organization Active NPI

Nic Group Inc

  • General Practice Physician
  • Portland, OR
National Provider Identifier
1255651592
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NIC GROUP INC
Practice address
8383 NE Sandy Blvd Ste 320DD
Portland, OR 97220-4968
Phone
(503) 235-5781
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Inna Naumova
Title
Owner
Phone
(503) 235-5781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8383 NE Sandy Blvd Ste 320DD
Portland, OR 97220-4968

Mailing address

8383 NE Sandy Blvd Ste 320DD
Portland, OR 97220-4968
Phone (503) 235-5781

National Provider Directory

National Provider Directory

Locations

8383 NE Sandy Blvd
Ste 320DD
Portland, OR 97220
Phone (503) 235-5781

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1255651592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 320DD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204968",
            "telephone_number": "503-235-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 320DD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204968",
            "telephone_number": "503-235-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "NAUMOVA",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-235-5781"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Jun 9, 2010; 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.