Organization Active NPI

The Women's Center of Central Oregon

  • Specialist
  • Redmond, OR
National Provider Identifier
1376504316
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD22835 Issued in OR
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
288033MedicaidOR

Other names 1

  • Dr. Susan M. Gorman Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Susan M Gorman2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.