Organization Active NPI

Joseph a Parent Jr MD PC

  • Specialist
  • Portland, OR
National Provider Identifier
1477544617
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8183 Issued in OR
Legal business name
JOSEPH A PARENT JR MD PC
Practice address
1750 SW Harbor Way
Suite 245
Portland, OR 97201-5128
Phone
(503) 241-1992
Fax
(503) 241-1977
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Joseph A Parent Jr., MD
Title
Owner
Phone
(503) 241-1992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8183 OR Primary

Addresses

Primary practice location

1750 SW Harbor Way
Suite 245
Portland, OR 97201-5128

Mailing address

PO Box 8698
Portland, OR 97207-8698
Phone (503) 241-1992

Other identifiers 1

IdentifierTypeStateIssuer
235051MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1477544617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8698",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078698",
            "telephone_number": "503-241-1992",
            "fax_number": "503-241-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SW HARBOR WAY",
            "address_2": "SUITE 245",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015128",
            "telephone_number": "503-241-1992",
            "fax_number": "503-241-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A PARENT JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-241-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "8183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235051",
            "state": "OR"
        }
    ],
    "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 Oct 30, 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.

Verify at the official NPI Registry.