Active NPI
Pacific Digestive Associates
- Gastroenterology Physician
- Clackamas, OR
National Provider Identifier
1396716627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- PACIFIC DIGESTIVE ASSOCIATES
- Practice address
- 15775 SE 82ND Dr
Clackamas, OR 97015-8551 - Phone
- (503) 722-9155
- Fax
- (503) 722-0420
- NPI assigned
- Jan 26, 2006
- 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
- Ms. Linda J Williams
- Title
- Office Manager
- Phone
- (503) 496-0354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OR | Primary |
Addresses
Primary practice location
15775 SE 82ND Dr
Clackamas, OR 97015-8551
Mailing address
15775 SE 82ND Dr
Clackamas, OR 97015-8551
Phone (503) 722-9155
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Milwaukie, OR
- NPI 1871772442
-
- Gastroenterology Physician
- Oregon City, OR
- NPI 1568458156
-
- Gastroenterology Physician
- Spokane, WA
- NPI 1073584314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396716627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15775 SE 82ND DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158551",
"telephone_number": "503-722-9155",
"fax_number": "503-722-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15775 SE 82ND DR",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158551",
"telephone_number": "503-722-9155",
"fax_number": "503-722-0420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC DIGESTIVE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "503-496-0354",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.