NPIMap

Individual provider Active NPI

Cliffton T.H. Bong, M.D.

  • Infectious Disease Physician
  • Portland, OR
National Provider Identifier
1609950849
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD24706 Issued in OR
Practice address
2800 N Vancouver Ave Ste 230
Portland, OR 97227
Phone
(503) 413-4340
Fax
(503) 413-4898
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD24706 OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave Ste 230
Portland, OR 97227

Mailing address

PO Box 4399
Portland, OR 97208-4399
Phone (503) 413-3900

Other identifiers 1

IdentifierTypeStateIssuer
227392MedicaidOR

Other names 1

  • Cliffton Bong Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040927000594 OR Practitioner - Infectious DiseasePractitioner - Internal Medicine 6608845763 Reassigns benefits to 4 organizations
Practice locations: Salem, OR
I20191001000522 WA Practitioner - Infectious Disease 6608845763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Medical College of Wisconsin, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Good Samaritan Hospital and Medical CenterGroup PAC ID 0547179939, 190 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
Legacy Emanuel Hospital and Health CenterGroup PAC ID 4587573639, 235 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1668
Phone (503) 413-4340

Hospital & facility affiliations

  • Legacy Emanuel Medical Center Hospital, Portland, OR, CCN 380007
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Aug 26, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 16, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 16, 2018 Accepting new patients
Legacy Clinics LLC CurrentSince Aug 16, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Aug 16, 2018 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Silverton Health CurrentSince Aug 26, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Aug 16, 2018 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 29, 2019 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jul 29, 2019 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Cascade Infectious Diseases and Infusion LLC Past Accepting new patients
Salem Health Past Accepting new patients

Locations

2800 N Vancouver Ave
Ste 230
Portland, OR 97227
Phone (503) 413-2901

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1609950849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4399",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084399",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97227",
            "telephone_number": "503-413-4340",
            "fax_number": "503-413-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONG",
        "first_name": "CLIFFTON",
        "middle_name": "T.H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD24706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227392",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLIFFTON",
            "last_name": "BONG",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.