Organization Active NPI

Christopher S. Seuferling DPM PC

Doing business as MT. Tabor Podiatry

  • Podiatrist
  • Portland, OR
National Provider Identifier
1427150028
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP00362 Issued in OR
Legal business name
CHRISTOPHER S. SEUFERLING DPM PC
Doing business as
MT. Tabor Podiatry
Practice address
7940 SE Division St
Suite E
Portland, OR 97206-1046
Phone
(503) 775-5846
Fax
(503) 775-8054
NPI assigned
Sep 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Christopher Scott Seuferling, DPMNPI 1366596348
Title
President
Phone
(503) 775-5846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X DP00362 OR Primary

Addresses

Primary practice location

7940 SE Division St
Suite E
Portland, OR 97206-1046

Mailing address

7940 SE Division St
Suite E
Portland, OR 97206-1046
Phone (503) 775-5846

Other identifiers 1

IdentifierTypeStateIssuer
213458MedicaidOR

Other names 1

  • MT. Tabor Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070227000254 OR Part B Supplier - Clinic/Group Practice 6305948076 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR; Scappoose, OR
O20100930057063 OR DME Supplier - Physician - Podiatry 6305948076 Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

7940 SE Division St
Ste E
Portland, OR 97206
Phone (503) 775-5846

2005 SE 192nd Ave
Ste 201
Camas, WA 98607
Phone (360) 256-2400

3205 SE 192nd Ave
Ste 100
Vancouver, WA 98683
Phone (360) 696-3668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1427150028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 SE DIVISION ST",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061046",
            "telephone_number": "503-775-5846",
            "fax_number": "503-775-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 SE DIVISION ST",
            "address_2": "SUITE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061046",
            "telephone_number": "503-775-5846",
            "fax_number": "503-775-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER S. SEUFERLING DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-03",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "SEUFERLING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-775-5846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213458",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MT. Tabor Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2008; 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.