Active NPI
The Women's Center of Central Oregon
- Specialist
- Redmond, OR
National Provider Identifier
1376504316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD22835
- Legal business name
- THE WOMEN'S CENTER OF CENTRAL OREGON
- Practice address
- 1001 NW Canal Blvd
Redmond, OR 97756-1420 - Phone
- (541) 504-7635
- Fax
- (541) 923-5902
- NPI assigned
- Mar 29, 2006
- Last updated
- Sep 6, 2023
- 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
- Mrs. Donna Fisher
- Title
- Office Manager
- Phone
- (541) 923-5879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD22835 | OR | Primary |
Addresses
Primary practice location
1001 NW Canal Blvd
Redmond, OR 97756-1420
Mailing address
1001 NW Canal Blvd
Redmond, OR 97756-1420
Phone (541) 504-7635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288033 | Medicaid | OR |
Other names 1
- Dr. Susan M. Gorman
National Provider Directory
National Provider Directory- Tax ID family
- Dr Susan M Gorman
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Redmond, OR
- NPI 1659470441
Locations
1001 NW Canal Blvd
Redmond, OR 97756
Phone (541) 504-7635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1376504316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 NW CANAL BLVD",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561420",
"telephone_number": "541-504-7635",
"fax_number": "541-923-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NW CANAL BLVD",
"city": "REDMOND",
"state": "OR",
"postal_code": "977561420",
"telephone_number": "541-504-7635",
"fax_number": "541-923-5902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WOMEN'S CENTER OF CENTRAL OREGON",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-29",
"last_updated": "2023-09-06",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-923-5879",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD22835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288033",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Susan M. Gorman",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redmond, OR
- Colin Patrick Taylor, CADC I
- Shawna Allison Taylor, RDH
- The Child Center
- The Marshall Group LLC (Redmond Immediate Health Care)
- The Redmond Family Medicine Center
- The Women's Center of Central Oregon
- Therapeutic Associates, Inc (TAI - Central Oregon Redmond)
- Hayley Therrien, DPT
- Michael P Thille, DC
- Abigail Linn Thompson, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.