Organization Active NPI

Willamette Falls Family Medicine

  • Family Medicine Physician
  • Oregon City, OR
National Provider Identifier
1679742217
Registry record updated Aug 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO23388 Issued in OR
Legal business name
WILLAMETTE FALLS FAMILY MEDICINE
Practice address
702 John Adams St
Oregon City, OR 97045-1955
Phone
(503) 657-3034
Fax
(503) 657-1785
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2009

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

Authorized official

Name
Dr. John T Pham, D.O.
Title
Physician/Owner
Phone
(503) 657-3034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO23388 OR Primary

Addresses

Primary practice location

702 John Adams St
Oregon City, OR 97045-1955

Mailing address

702 John Adams St
Oregon City, OR 97045-1955
Phone (503) 657-3034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250294400000",
    "number": "1679742217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451955",
            "telephone_number": "503-657-3034",
            "fax_number": "503-657-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 JOHN ADAMS ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451955",
            "telephone_number": "503-657-3034",
            "fax_number": "503-657-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE FALLS FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-08-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "503-657-3034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO23388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2009; 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.