Active NPI
Tatyana Yefremova, D.O.
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1306041637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LL16477
- Practice address
- 2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1630 - Phone
- (503) 413-2901
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LL16477 | OR | Primary |
Addresses
Primary practice location
2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1630
Mailing address
11046 SW Greenburg Rd Apt 231
Tigard, OR 97223-5438
Phone (503) 620-6428
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL16477 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306041637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11046 SW GREENBURG RD APT 231",
"city": "TIGARD",
"state": "OR",
"postal_code": "972235438",
"telephone_number": "503-620-6428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 N VANCOUVER AVE",
"address_2": "SUITE 230",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271630",
"telephone_number": "503-413-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEFREMOVA",
"first_name": "TATYANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "LL16477",
"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.