Active NPI
Herbert Roth Salomon, M.D.
- Gastroenterology Physician
- Portland, OR
National Provider Identifier
1275640401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD11143
- Practice address
- 3500 N Interstate Ave
Portland, OR 97227-1196 - Phone
- (503) 813-2843
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD11143 | OR | Primary |
Addresses
Primary practice location
3500 N Interstate Ave
Portland, OR 97227-1196
Mailing address
23 Hillshire Dr
Lake Oswego, OR 97034-7375
Phone (503) 638-2799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275640401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 HILLSHIRE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970347375",
"telephone_number": "503-638-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271196",
"telephone_number": "503-813-2843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "HERBERT",
"middle_name": "ROTH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": "MD11143",
"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 Jul 8, 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.