Active NPI
Portland Gynecologic Oncology, PC
- Specialist
- Portland, OR
National Provider Identifier
1366745655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16638
- Legal business name
- PORTLAND GYNECOLOGIC ONCOLOGY, PC
- Practice address
- 9155 SW Barnes Rd Ste 416
Portland, OR 97225-6631 - Phone
- (503) 297-8700
- Fax
- (503) 297-2201
- NPI assigned
- Dec 8, 2010
- Organization subpart
- Yes
- Parent organization
- PORTLAND GYNECOLOGIC ONCOLOGY, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jana Marie Reddoch
- Title
- MD
- Phone
- (503) 297-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 16638 | OR | Primary |
Addresses
Primary practice location
9155 SW Barnes Rd Ste 416
Portland, OR 97225-6631
Mailing address
9155 SW Barnes Rd Ste 416
Portland, OR 97225-6631
Phone (503) 297-8700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024660 | Medicaid | OR | |
| 069021000 | Other | OR | BC/BS OREGON |
Other names 1
- JANA M. REDDOCH,MD
National Provider Directory
National Provider Directory- Part of
- Portland Gynecologic Oncol
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291766400000",
"number": "1366745655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD STE 416",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256631",
"telephone_number": "503-297-8700",
"fax_number": "503-297-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9155 SW BARNES RD STE 416",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256631",
"telephone_number": "503-297-8700",
"fax_number": "503-297-2201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTLAND GYNECOLOGIC ONCOLOGY, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PORTLAND GYNECOLOGIC ONCOLOGY, PC",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A",
"authorized_official_last_name": "REDDOCH",
"authorized_official_first_name": "JANA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "503-297-8700"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OR",
"license": "16638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024660",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OREGON",
"identifier": "069021000",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JANA M. REDDOCH,MD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Portland, OR
- Portland Family Practice Inc.
- Portland Family Services LLC
- Portland Foot and Ankle Institute, LLC
- Portland Foot and Ankle, LLC
- Portland Gastroenterology Equipment
- Portland Headache & Facial Pain LLC
- Portland Healing Space LLC
- Portland Health and Rehabilitation Psychology, LLC
- Portland Health and Wellness, LLC
- Portland Hearing Specialists, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.