Propel Network, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

126560 Issued in CA

Legal business name

PROPEL NETWORK, LLC

Practice address

14525 SW Millikan Way
Beaverton, OR 97005-2343

Phone

(443) 342-6879

NPI assigned

Feb 17, 2016

Organization subpart

No

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

Authorized official

Name

Hans Gangeskar

Title

Ceo

Phone

(800) 321-6879

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1659730760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 ELLICOTT DR",
            "address_2": "SUITE A",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571039",
            "telephone_number": "888-407-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 SW MILLIKAN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052343",
            "telephone_number": "443-342-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPEL NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "GANGESKAR",
        "authorized_official_first_name": "HANS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-321-6879"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "126560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• General Practice Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.