Charles Edwin Irish, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD09659 Issued in OR

Practice address

18650 NW Cornell Rd
Suite 212
Hillsboro, OR 97124-9207

Phone

(503) 292-1103

Fax

(503) 292-1433

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Associats, PC

  • Surgery Physician
  • Portland, OR
  • NPI 1821019860
  NPD (past)
• Tuality Healthcare

  • Psychiatric Hospital
  • Hillsboro, OR
  • NPI 1073817714
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1285667170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 830",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-292-1103",
            "fax_number": "503-292-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 NW CORNELL RD",
            "address_2": "SUITE 212",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249207",
            "telephone_number": "503-292-1103",
            "fax_number": "503-292-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD09659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234906",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Interlink Coe Networks and Programs
• Interlink Health Services
• Invigorate Injury & Integrative Medicine LLC
• Saad Iqbal
• Sar-Fari L Irey
• Amanda Lee Irwin-Rugg, LCSW
• Amanda Elizabeth Irwin
• Jenine C Isa, PHARM.D.
• Lindsay Iselin, DC
• Daniel W Isenbarger, MD

• Surgery Physician in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.