Active NPI
Joseph Corby Chiovaro, MD
- Internal Medicine Physician
- Tigard, OR
National Provider Identifier
1669647830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 61259463
- Practice address
- 18081 SW Lower Boones Ferry Rd Ste 2
Tigard, OR 97224-7290 - Phone
- (503) 673-3893
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 152416 | OR | |
| Internal Medicine Physician | 207R00000X | 61259463 | WA | Primary |
Addresses
Primary practice location
18081 SW Lower Boones Ferry Rd Ste 2
Tigard, OR 97224-7290
Mailing address
10230 SW Madrid Loop
Wilsonville, OR 97070-3077
Phone (206) 375-4894
Other practice location 1
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Phone (503) 220-8262
Other practice location 2
595 W Columbia Way
Vancouver, WA 98660-3607
Phone (360) 690-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260223002530 | OR | Order and Referring Only - Internal Medicine | 4688725856 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152416 | OR | MD | Internal Medicine Physician |
| 61259463 | WA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1669647830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10230 SW MADRID LOOP",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970703077",
"telephone_number": "206-375-4894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18081 SW LOWER BOONES FERRY RD STE 2",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247290",
"telephone_number": "503-673-3893"
}
],
"practiceLocations": [
{
"address_1": "3710 SW US Veterans Hospital Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972392964",
"country_code": "US",
"telephone_number": "503-220-8262",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "595 W Columbia Way",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986603607",
"country_code": "US",
"telephone_number": "360-690-1123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIOVARO",
"first_name": "JOSEPH",
"middle_name": "CORBY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "152416",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "61259463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.