Columbia Medical and Endocrine Clinic

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD19676 Issued in OR

Legal business name

COLUMBIA MEDICAL AND ENDOCRINE CLINIC

Practice address

501 NE Hood Ave
Suite 215
Gresham, OR 97030-7303

Phone

(503) 667-8400

Fax

(503) 907-7072

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Margaret A Vajdos, MD

Title

Owner Physician

Phone

(503) 667-8400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306966569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE",
            "address_2": "SUITE 215",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307303",
            "telephone_number": "503-667-8400",
            "fax_number": "503-907-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NE HOOD AVE",
            "address_2": "SUITE 215",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307303",
            "telephone_number": "503-667-8400",
            "fax_number": "503-907-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL AND ENDOCRINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAJDOS",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "503-667-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OR",
            "license": "MD19676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079874",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Collado, BA
• Christina H Collier, QMHA-I
• Kathryn Collins, DPT
• Stephanie Collins, BA IN PSYCHOLOGY
• Sandra Ann Collis, DO
• Columbia Pain and Spine Institute
• Columbia Pain and Spine Institute
• Columbia River Dentistry-Gresham, LLC
• Columbia Surgical Specialists PLLC
• Tyrell Anthony Comeaux, MS, RD

• Endocrinology, Diabetes & Metabolism Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.