Active NPI
Michelle L. Mears, MD , P.C
- Family Medicine Physician
- North Plains, OR
National Provider Identifier
1376788315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19086
- Legal business name
- MICHELLE L. MEARS, MD , P.C
- Practice address
- 10395 NW Glencoe Rd
Suite 200
North Plains, OR 97133-8208 - Phone
- (503) 647-9400
- Fax
- (503) 647-5120
- NPI assigned
- Dec 4, 2008
- 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
- Michelle L Mears, M.D.
- Title
- Owner
- Phone
- (503) 647-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD19086 | OR | Primary |
Addresses
Primary practice location
10395 NW Glencoe Rd
Suite 200
North Plains, OR 97133-8208
Mailing address
10395 NW Glencoe Rd
Suite 200
North Plains, OR 97133-8208
Phone (503) 647-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068353 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
10395 NW Glencoe Rd
Ste 20
North Plains, OR 97133
Phone (503) 647-9400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hillsboro, OR
- NPI 1417026659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228348800000",
"number": "1376788315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10395 NW GLENCOE RD",
"address_2": "SUITE 200",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338208",
"telephone_number": "503-647-9400",
"fax_number": "503-647-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10395 NW GLENCOE RD",
"address_2": "SUITE 200",
"city": "NORTH PLAINS",
"state": "OR",
"postal_code": "971338208",
"telephone_number": "503-647-9400",
"fax_number": "503-647-5120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHELLE L. MEARS, MD , P.C",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-04",
"last_updated": "2008-12-04",
"status": "A",
"authorized_official_last_name": "MEARS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-647-9400",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": "MD19086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068353",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Plains, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.