Organization Active NPI

Lymphedema Solutions NW

  • Rehabilitation Clinic/Center
  • Beaverton, OR
National Provider Identifier
1386034767
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
6264 Issued in OR
Legal business name
LYMPHEDEMA SOLUTIONS NW
Practice address
2077 NW Town Center Dr
Beaverton, OR 97006-8938
Phone
(971) 255-3132
Fax
(971) 228-2777
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Katherine L Hotz, OTNPI 1073776209
Title
Owner/Provider
Phone
(971) 255-3132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 6264 OR Primary

Addresses

Primary practice location

2077 NW Town Center Dr
Beaverton, OR 97006-8938

Mailing address

2077 NW Town Center Dr
Beaverton, OR 97006-8938
Phone (971) 255-3132

Other identifiers 1

IdentifierTypeStateIssuer
500672140MedicaidOR

National Provider Directory

National Provider Directory

Locations

1975 NW 167th Pl
Ste 10010
Beaverton, OR 97006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1386034767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 NW TOWN CENTER DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068938",
            "telephone_number": "971-255-3132",
            "fax_number": "971-228-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 NW TOWN CENTER DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068938",
            "telephone_number": "971-255-3132",
            "fax_number": "971-228-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA SOLUTIONS NW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "HOTZ",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "971-255-3132",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OR",
            "license": "6264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672140",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.