O'Donovan Clinic, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

00038357 Issued in OR

Legal business name

O'DONOVAN CLINIC, INC.

Practice address

580 Avenue U
Seaside, OR 97138-5065

Phone

(503) 738-5571

Fax

(503) 738-5573

NPI assigned

Dec 22, 2005

Last updated

Feb 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol J. O'Donovan

Title

Owner/Manager

Phone

(503) 738-5571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1376520163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 AVENUE U",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971385065",
            "telephone_number": "503-738-5571",
            "fax_number": "503-738-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 AVENUE U",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971385065",
            "telephone_number": "503-738-5571",
            "fax_number": "503-738-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'DONOVAN CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "O'DONOVAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-738-5571"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "00038357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286279",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Necanicum Operations, LLC (Avamere at Seaside)
• Nathan Levi Nerenberg, PHARM.D.
• Erik William Nevatt, MD
• Carly Newsam
• George L Nipp, DMD
• Ocean, Earth & Stone Massage LLC
• Robert W Olson
• Timothy Martin Opie, MD
• Oregon Coast Radiology PC
• Arne Dean Otness, DC

• Health Service Clinic/Center in Seaside, OR
• Providers in Seaside, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.