Organization Active NPI

Vantage Med Solutions LLC

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1295433209
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VANTAGE MED SOLUTIONS LLC
Practice address
401 NE 19TH Ave Ste 200
Portland, OR 97232-4800
Phone
(503) 832-7997
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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

Authorized official

Name
Karla Orea
Title
Owner
Phone
(503) 832-7977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

401 NE 19TH Ave Ste 200
Portland, OR 97232-4800

Mailing address

401 NE 19TH Ave Ste 200
Portland, OR 97232-4800
Phone (503) 832-7997

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1295433209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE 19TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324800",
            "telephone_number": "503-832-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 19TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324800",
            "telephone_number": "503-832-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE MED SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "OREA",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-832-7977"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "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 Feb 20, 2023; 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.