NPIMap

Organization Active NPI

Pacific NW Family Practice, Limited Liability Company

Doing business as Pacific NW Family Practice

  • Physician Assistant
  • Hillsboro, OR
National Provider Identifier
1275061681
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01299 Issued in OR
Legal business name
PACIFIC NW FAMILY PRACTICE, LIMITED LIABILITY COMPANY
Doing business as
Pacific NW Family Practice
Practice address
256 SE 2ND Ave
Hillsboro, OR 97123-4017
Phone
(503) 648-1003
Fax
(503) 648-1013
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jane Katherine Hopson, PA-C
Title
Certified Physician Assistant
Phone
(503) 648-1003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X PA01299 OR
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA01299 OR Primary

Addresses

Primary practice location

256 SE 2ND Ave
Hillsboro, OR 97123-4017

Mailing address

256 SE 2ND Ave
Hillsboro, OR 97123-4017
Phone (503) 648-1003

Other names 1

  • Pacific NW Family Practice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275061681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SE 2ND AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234017",
            "telephone_number": "503-648-1003",
            "fax_number": "503-648-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SE 2ND AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234017",
            "telephone_number": "503-648-1003",
            "fax_number": "503-648-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NW FAMILY PRACTICE, LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOPSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "CERTIFIED PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "503-648-1003",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "PA01299",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA01299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific NW Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.