NPIMap

Organization Active NPI

Hood River Medical Group, PC

  • Family Medicine Physician
  • Hood River, OR
National Provider Identifier
1346452133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOOD RIVER MEDICAL GROUP, PC
Practice address
1304 Montello Ave
Hood River, OR 97031-1544
Phone
(541) 386-3711
Fax
(541) 386-6224
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Diane K Philley
Title
Office Manager
Phone
(541) 386-3711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1304 Montello Ave
Hood River, OR 97031-1544

Mailing address

1304 Montello Ave
Hood River, OR 97031-1544
Phone (541) 386-3711

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346452133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 MONTELLO AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311544",
            "telephone_number": "541-386-3711",
            "fax_number": "541-386-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 MONTELLO AVE",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311544",
            "telephone_number": "541-386-3711",
            "fax_number": "541-386-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOD RIVER MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-386-3711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

  • 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.