Organization Active NPI

Thomas W. Dodson, MD PC

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1609065176
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17869 Issued in OR
Legal business name
THOMAS W. DODSON, MD PC
Practice address
2187 SW Main St
Suite 102
Portland, OR 97205-1123
Phone
(503) 228-0370
Fax
(503) 228-6690
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Dr. Thomas William Dodson, M.D.
Title
President
Phone
(503) 228-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 17869 OR Primary

Addresses

Primary practice location

2187 SW Main St
Suite 102
Portland, OR 97205-1123

Mailing address

2187 SW Main St
Suite 102
Portland, OR 97205-1123
Phone (503) 228-0370

Other identifiers 1

IdentifierTypeStateIssuer
054515MedicaidOR

National Provider Directory

National Provider Directory

Locations

2187 SW Main St
Ste 102
Portland, OR 97205
Phone (503) 228-0370

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1609065176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 SW MAIN ST",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051123",
            "telephone_number": "503-228-0370",
            "fax_number": "503-228-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2187 SW MAIN ST",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051123",
            "telephone_number": "503-228-0370",
            "fax_number": "503-228-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS W. DODSON, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-228-0370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "17869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054515",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.