Deep Creek Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DEEP CREEK FAMILY MEDICINE

Practice address

39084 Proctor Blvd Ste a
Sandy, OR 97055-8064

Phone

(971) 313-2317

NPI assigned

Jul 14, 2020

Last updated

Sep 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joshua J. Reese, MD

Title

Owner/Physician

Phone

(971) 313-2317

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1255949434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39084 PROCTOR BLVD STE A",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558064",
            "telephone_number": "971-313-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39084 PROCTOR BLVD STE A",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558064",
            "telephone_number": "971-313-2317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP CREEK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "971-313-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sandy, OR
• Providers in Sandy, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.