Neal James Rendleman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD13206 Issued in OR

Practice address

10305 SW Park Way
Portland, OR 97225

Phone

(503) 295-0730

Fax

(503) 295-0731

NPI assigned

Jul 26, 2005

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Pain Management Center

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
  • NPI 1467773663
  NPD (past)
• Uptown Providers PC

  • General Practice Physician
  • Portland, OR
  • NPI 1144598293
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1578563086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "telephone_number": "503-228-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 SW PARK WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-295-0730",
            "fax_number": "503-295-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDLEMAN",
        "first_name": "NEAL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD13206",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "OR13206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285841",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fenicks Renasci, LMT
• Francoise J Renaud, LPC, CADCIII
• Richard Ikaika Renaud III
• Render Creative Space LLC (Render: A Creative Space for Health & Wellness)
• Jed Rendleman, LMFT
• Angel Rendon-Hernandez
• Julie Rendon, AGACNP
• Kaliea Yvonne Rendon, QMHA-R
• Rene St. Cyr Chiropractic Physician
• Daniel Raymond Renelt, PHYSICAL THERAPIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.