NPIMap

Organization Active NPI

Northwest Occupational Medicine Center Inc.

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
National Provider Identifier
1407882772
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTHWEST OCCUPATIONAL MEDICINE CENTER INC.
Practice address
9400 SW Beaverton Hillsdale Hwy
Suite 205
Beaverton, OR 97005-3315
Phone
(503) 684-7246
Fax
(503) 624-0724
NPI assigned
Jun 25, 2006
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Shari E Welch
Title
Billing Specialist
Phone
(503) 684-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

9400 SW Beaverton Hillsdale Hwy
Suite 205
Beaverton, OR 97005-3315

Mailing address

9400 SW Beaverton Hillsdale Hwy
Suite 205
Beaverton, OR 97005-3315
Phone (503) 684-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000014 OR Part B Supplier - Clinic/Group Practice 2769487990 Receives reassigned benefits from 3 practitioners
Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Locations

9400 SW Beaverton Hillsdale Hwy
Ste 205
Beaverton, OR 97005
Phone (503) 684-7246

12250 SW Garden Pl
Tigard, OR 97223
Phone (503) 684-7246

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1407882772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053315",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053315",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OCCUPATIONAL MEDICINE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "503-684-7246"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.