Edward Everett Conrad Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12913 Issued in OR

Practice address

550 3Rd St
Lake Oswego, OR 97034-3002

Phone

(503) 635-5044

Fax

(503) 635-3255

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396766796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970340042",
            "telephone_number": "503-635-5044",
            "fax_number": "503-635-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 3RD ST",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343002",
            "telephone_number": "503-635-5044",
            "fax_number": "503-635-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "EDWARD",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "12913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concetta M Antonelli LMT
• Isamar Conde Negron
• Rachael Ann Cone, L.M.T.
• Connect Thrive Therapy, LLC
• Connections PDX LLC
• Edwin Martin Emanuel Conta
• Jessica Linn Conwell, PSY.D.
• Christine Ann Cook, DC
• Erin L Cook, PSYD
• Barbara Cope, MSW

• Internal Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.