NPIMap

Organization Active NPI

Dr. Della Parker PC

  • Preferred Provider Organization
  • Portland, OR
National Provider Identifier
1417335407
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
1824 Issued in OR
Legal business name
DR. DELLA PARKER PC
Practice address
13112 NE Halsey St
Portland, OR 97230-2350
Phone
(503) 252-3952
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. DELLA PARKERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Della Parker, ND
Title
Owner
Phone
(503) 252-3952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 1824 OR Primary

Addresses

Primary practice location

13112 NE Halsey St
Portland, OR 97230-2350

Mailing address

13112 NE Halsey St
Portland, OR 97230-2350
Phone (503) 252-3952

National Provider Directory

National Provider Directory
Part of
Dr Della Parker PC

Locations

13112 NE Halsey St
Portland, OR 97230
Phone (503) 252-3952

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1417335407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13112 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302350",
            "telephone_number": "503-252-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13112 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302350",
            "telephone_number": "503-252-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DELLA PARKER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. DELLA PARKER",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-252-3952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "1824",
            "primary": true
        }
    ],
    "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 May 11, 2015; 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.