Orthopedics Northwest PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ORTHOPEDICS NORTHWEST PC

Practice address

15755 SW Sequoia Pkwy
Suite 200
Tigard, OR 97224-7166

Phone

(503) 639-6002

Fax

(503) 639-1403

NPI assigned

Sep 20, 2006

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lillian Jean Lim

Title

Clinic Administrator

Phone

(503) 639-6002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: bpuskas@orthonw.directmessaging.net
• Direct secure messaging: cjones@orthonw.directmessaging.net
• Direct secure messaging: cnanson@orthonw.directmessaging.net
• Direct secure messaging: eortiz@orthonw.directmessaging.net
• FHIR API: https://api.platform.athenahealth.com/23848/brand/1/csg/1/fhir/r4
• Direct secure messaging: kblosser@orthonw.directmessaging.net
• Direct secure messaging: kmoody@orthonw.directmessaging.net
• Direct secure messaging: mbwagner@orthonw.directmessaging.net
• Direct secure messaging: sgrewe@orthonw.directmessaging.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory W. Irvine, MD

  • Orthopaedic Surgery Physician
  • Tigard, OR
  • NPI 1467454181
  NPD (past)
• James Michael Leach, PA-C

  • Surgical Physician Assistant
  • Akron, OH
  • NPI 1740282441
  NPD (past)
• Stephan L Pro, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Kansas City, KS
  • NPI 1457507659
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1548368012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15755 SW SEQUOIA PKWY",
            "address_2": "SUITE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247166",
            "telephone_number": "503-639-6002",
            "fax_number": "503-620-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15755 SW SEQUOIA PKWY",
            "address_2": "SUITE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247166",
            "telephone_number": "503-639-6002",
            "fax_number": "503-639-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDICS NORTHWEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "503-639-6002"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138119",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oregon Outpatient Surgery Center LLC
• Oregon Sports Medicine Associates (Sports Medicine Oregon)
• Oregon Sports Medicine Associates (Sports Medicine Oregon)
• Areli Ortega Garcia
• Andreya Ortega, QMHP-R
• Skylinn Beryl Ortiz-Ramos, MA, LPC
• Emily Ortiz, PA-C
• Ayaka Osakabe, B.A.
• Jennifer Eleanor Osawa, RHD
• Unkown Oshina

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.