Northwest Vein Specialists, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHWEST VEIN SPECIALISTS, P.C.

Practice address

12400 NW Cornell Rd
Suite 200
Portland, OR 97229-5693

Phone

(503) 352-0427

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By 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

Richard L Jamison, MD

Title

Secretary/Treasurer

Phone

(503) 352-0427

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John Robert Zelko, MD

  • Surgery Physician
  • Portland, OR
  • NPI 1124098033
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619089083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NW SALTZMAN RD",
            "address_2": "PMB 916",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972296098",
            "telephone_number": "503-352-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 NW CORNELL RD",
            "address_2": "SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295693",
            "telephone_number": "503-352-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST VEIN SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "503-352-0427",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Urological Clinic PC
• Northwest Urology, LLC
• Northwest Urology, LLC
• Northwest Urology, LLC
• Northwest Vascular Consultants Inc
• Northwest Vitality Group
• Northwest Wade Corporation (Community Ambulance)
• Northwest Wade Corporation (Community Ambulance)
• Northwest Women's Clinic, PC
• Northwestern Neurological Assoc PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.