Active NPI
Courtney Marie McGirr, DO
- Pediatrics Physician
- Portland, OR
National Provider Identifier
1679835342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- FM5326928
- Practice address
- 9135 SW Barnes Rd
Suite 763
Portland, OR 97225-6646 - Phone
- (503) 296-7800
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | FM5326928 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd
Suite 763
Portland, OR 97225-6646
Mailing address
9135 SW Barnes Rd
Suite 763
Portland, OR 97225-6646
Phone (503) 296-7800
Other names 1
- Courtney Marie Wilson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current | Accepting new patients |
Locations
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- General Practice Physician
- Portland, OR
- NPI 1982959565
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1679835342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 763",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256646",
"telephone_number": "503-296-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD",
"address_2": "SUITE 763",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256646",
"telephone_number": "503-296-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGIRR",
"first_name": "COURTNEY",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "FM5326928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COURTNEY",
"last_name": "WILSON",
"middle_name": "MARIE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 5, 2016; 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.