General and Vascular Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

13207 Issued in OR

Legal business name

GENERAL AND VASCULAR SURGERY

Practice address

9155 SW Barnes Rd Ste 940
Portland, OR 97225-6636

Phone

(503) 297-1351

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Kim Swartz

Title

President

Phone

(503) 297-1351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497811061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 940",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 940",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256636",
            "telephone_number": "503-297-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL AND VASCULAR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-297-1351"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "13207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Croze Gencarelli, PHARM.D.
• David Genco Jr., DPT
• James Lee Gendreau, MD
• Kathleen Gendron, DPT
• Maru Genemo
• Generations Family Medicine, Professional Corporation
• Genesis Medical Group II, Inc
• Genesis Medical Group LLC
• Genesis Medical Group, LLC.
• Geoff Geness, D.C., LAC.

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.