Organization Active NPI

Portland Hypertension & Nephrology Clinic LLP

  • Nephrology Physician
  • Portland, OR
National Provider Identifier
1629055702
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PORTLAND HYPERTENSION & NEPHROLOGY CLINIC LLP
Practice address
5314 NE Irving St
Portland, OR 97213-3158
Phone
(503) 284-1937
Fax
(503) 284-3908
NPI assigned
Dec 29, 2005
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
Arnold H Israelit, MDNPI 1679551436
Title
Partner/Owner
Phone
(503) 284-1937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

5314 NE Irving St
Portland, OR 97213-3158

Mailing address

5314 NE Irving St
Portland, OR 97213-3158
Phone (503) 284-1937

Other identifiers 2

IdentifierTypeStateIssuer
7011513MedicaidWA
287500MedicaidOR

National Provider Directory

National Provider Directory

Locations

5314 NE Irving St
Portland, OR 97213
Phone (350) 284-1937

315 SE Stonemill Dr
Ste 103
Vancouver, WA 98684
Phone (360) 666-4480

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1629055702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 NE IRVING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133158",
            "telephone_number": "503-284-1937",
            "fax_number": "503-284-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 NE IRVING ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133158",
            "telephone_number": "503-284-1937",
            "fax_number": "503-284-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND HYPERTENSION & NEPHROLOGY CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "ISRAELIT",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "503-284-1937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7011513",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287500",
            "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.