Joel Amundson MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JOEL AMUNDSON MD PC

Doing business as

Dr. Joel's Clinic

Practice address

5231 NE Martin Luther King Jr Blvd
Portland, OR 97211-3235

Phone

(503) 342-2180

Fax

(503) 208-8023

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joel A Amundson, MD

Title

Provider Owner

Phone

(503) 342-2180

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Joel's Clinic Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Rebecca Dunn, M.D.

  • Pediatrics Physician
  • Portland, OR
  • NPI 1871758847
  NPD (past)
• Eve Ruth Golden, M.D.

  • Pediatrics Physician
  • Portland, OR
  • NPI 1669598330
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523491200000",
    "number": "1558548529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113235",
            "telephone_number": "503-342-2180",
            "fax_number": "503-208-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 NE MARTIN LUTHER KING JR BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113235",
            "telephone_number": "503-342-2180",
            "fax_number": "503-208-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL AMUNDSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2018-04-12",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROVIDER OWNER",
        "authorized_official_telephone_number": "503-342-2180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "003334053",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278409",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Joel's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Jochim, DMD
• Ashley Jocz
• Jodi Lietz Counseling, LLC
• Joe Keeney Physical Therapy, Inc
• Joe Keeney Physical Therapy, Inc.
• Frank Joerke, MD
• Kasey Stella Joffe, LPC
• John M Joffer, PHARM.D.
• Donna L Johannes, ANP, GNP
• Elyse Walker Johansen

• Pediatrics Physician in Portland, OR
• Providers in Portland, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.