Active NPI
Richard A Corneliuz, CPFT
- Pulmonary Function Technologist
- Portland, OR
National Provider Identifier
1407006471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Function Technologist
- License
- RT-P-000398
- Practice address
- 3500 N Interstate Ave
Portland, OR 97227-1196 - Phone
- (503) 331-5153
- NPI assigned
- Sep 25, 2008
- Last updated
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Function Technologist | 225B00000X | RT-P-000398 | OR | Primary |
Addresses
Primary practice location
3500 N Interstate Ave
Portland, OR 97227-1196
Mailing address
4223 NE 152ND Ave
Vancouver, WA 98682-7000
Phone (360) 256-5022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT-P-000398 | OR | MD | Pulmonary Function Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1407006471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 NE 152ND AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986827000",
"telephone_number": "360-256-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 N INTERSTATE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271196",
"telephone_number": "503-331-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUZ",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CPFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225B00000X",
"taxonomy_group": "",
"desc": "Pulmonary Function Technologist",
"state": "OR",
"license": "RT-P-000398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
- Jessica Arlene Corman, PT, DPT
- Jared Corn, M.D
- Brandon J Cornejo, MD, PH.D.
- Amanda Williams Cornelius, SLP
- Selena Marie Cornelius
- Cornell Eyecare Group, Inc (Cornell Eyecare Group)
- Cornell Family Dental
- Cornell Family Medicine
- Alexandra Gately Cornell, M.D.
- Corner Health Medical Group Northwest, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.