Active NPI
Donald W Froom Mdllc
- Specialist
- Portland, OR
National Provider Identifier
1326079062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MDO6973
- Legal business name
- DONALD W FROOM MDLLC
- Practice address
- 9155 SW Barnes Rd
Ste 534
Portland, OR 97225-6625 - Phone
- (503) 292-7721
- Fax
- (503) 292-6455
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Woodrow Froom, MD
- Title
- LLC
- Phone
- (503) 292-7721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MDO6973 | OR | Primary |
Addresses
Primary practice location
9155 SW Barnes Rd
Ste 534
Portland, OR 97225-6625
Mailing address
9155 SW Barnes Rd
Ste 534
Portland, OR 97225-6625
Phone (503) 292-7721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061861 | Medicaid | OR |
Other names 1
- Donald W Froom MDPC
National Provider Directory
National Provider DirectoryLocations
9155 SW Barnes Rd
Ste 534
Portland, OR 97225
Phone (503) 292-7721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1326079062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD",
"address_2": "STE 534",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256625",
"telephone_number": "503-292-7721",
"fax_number": "503-292-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD",
"address_2": "STE 534",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256625",
"telephone_number": "503-292-7721",
"fax_number": "503-292-6455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONALD W FROOM MDLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "FROOM",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WOODROW",
"authorized_official_title_or_position": "LLC",
"authorized_official_telephone_number": "503-292-7721",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "MDO6973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061861",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Donald W Froom MDPC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.