Active NPI
Linda Pham, L.M.T.
- Specialist
- West Linn, OR
National Provider Identifier
1508003450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12991
- Practice address
- 21400 S Salamo Rd
West Linn, OR 97068-7201 - Phone
- (503) 650-2487
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12991 | OR | Primary |
Addresses
Primary practice location
21400 S Salamo Rd
West Linn, OR 97068-7201
Mailing address
21400 S Salamo Rd
West Linn, OR 97068-7201
Phone (503) 650-2487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12991 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231891200000",
"number": "1508003450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21400 S SALAMO RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970687201",
"telephone_number": "503-650-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21400 S SALAMO RD",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970687201",
"telephone_number": "503-650-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LINDA",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "12991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.