Active NPI
Phillip Kwok-Hay Au, M.D.
- Cardiovascular Disease Physician
- Portland, OR
National Provider Identifier
1417065269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD15265
- Practice address
- 9205 SW Barnes Rd
West Pavilion, Suite 200
Portland, OR 97225-6603 - Phone
- (503) 216-1880
- Fax
- (503) 216-1750
- NPI assigned
- Aug 29, 2006
- Last updated
- Jul 8, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD15265 | OR | Primary |
| Cardiovascular Disease Physician | 207RC0000X | MD00034523 | WA | |
| Cardiovascular Disease Physician | 207RC0000X | G42062 | CA |
Addresses
Primary practice location
9205 SW Barnes Rd
West Pavilion, Suite 200
Portland, OR 97225-6603
Mailing address
18322 Anduin Ter
Lake Oswego, OR 97034-7557
Phone (503) 636-1272
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42062 | CA | MD | Cardiovascular Disease Physician |
| MD00034523 | WA | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417065269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18322 ANDUIN TER",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970347557",
"telephone_number": "503-636-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"address_2": "WEST PAVILION, SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-1880",
"fax_number": "503-216-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AU",
"first_name": "PHILLIP",
"middle_name": "KWOK-HAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD15265",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WA",
"license": "MD00034523",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G42062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- 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.