Active NPI
Lymphedema Solutions NW
- Rehabilitation Clinic/Center
- Beaverton, OR
National Provider Identifier
1386034767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 6264
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine L Hotz, OT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500672140 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Occupational Therapist
- Beaverton, OR
- NPI 1073776209
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.