Organization Active NPI

Hector M Rodriguez DO PC

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1447389002
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO17335 Issued in OR
Legal business name
HECTOR M RODRIGUEZ DO PC
Practice address
1820 SW Vermont St
Suite a
Portland, OR 97219-1945
Phone
(503) 977-9838
Fax
(503) 977-9624
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Ms. Connie Rybloom
Title
Office Manager
Phone
(503) 977-9838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X DO17335 OR Primary

Addresses

Primary practice location

1820 SW Vermont St
Suite a
Portland, OR 97219-1945

Mailing address

1820 SW Vermont St
Suite a
Portland, OR 97219-1945
Phone (503) 977-9838

National Provider Directory

National Provider Directory

Locations

1820 SW Vermont St
Ste A
Portland, OR 97219
Phone (503) 334-0637

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1447389002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945",
            "telephone_number": "503-977-9838",
            "fax_number": "503-977-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST",
            "address_2": "SUITE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945",
            "telephone_number": "503-977-9838",
            "fax_number": "503-977-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HECTOR M RODRIGUEZ DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "RYBLOOM",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-977-9838",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO17335",
            "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 Feb 12, 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.

Verify at the official NPI Registry.