Portland Doctor, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PORTLAND DOCTOR, LLC

Practice address

1235 SE Division St Ste 115
Portland, OR 97202-1085

Phone

(503) 673-3400

Fax

(503) 836-3787

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Christabeth Boyd, MD

Title

Physician/Owner

Phone

(541) 230-8770

Specialties & licenses 1

Addresses

Other names 1

• Portland Doctor, LLC Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24885/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1497229165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021085",
            "telephone_number": "503-673-3400",
            "fax_number": "503-836-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 SE DIVISION ST STE 115",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021085",
            "telephone_number": "503-673-3400",
            "fax_number": "503-836-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "CHRISTABETH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "541-230-8770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Doctor, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portland Dental Works, LLC
• Portland Dermatology Clinic, LLP
• Portland Detox
• Portland Diabetes & Endocrinology
• Portland Dialectical Behavior Therapy PC
• Portland Dysphagia Diagnostics LLC
• Portland Ear Nose & Throat
• Portland Ear, Nose & Throat Specialists
• Portland Electrolysis and Skin Care
• Portland Emergency Dental Care USA PC

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.