Organization Active NPI

Laura Nepveu, M.D., P.C.

  • Primary Care Clinic/Center
  • Tualatin, OR
National Provider Identifier
1689827032
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD18304 Issued in OR
Legal business name
LAURA NEPVEU, M.D., P.C.
Practice address
19250 SW 65TH Ave
Suit #255
Tualatin, OR 97062-7452
Phone
(503) 692-5300
Fax
(503) 692-5331
NPI assigned
Oct 29, 2008
Last updated
Feb 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Laura Nepveu, M.D.NPI 1619930138
Title
President
Phone
(503) 692-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD18304 OR Primary

Addresses

Primary practice location

19250 SW 65TH Ave
Suit #255
Tualatin, OR 97062-7452

Mailing address

19250 SW 65TH Ave
Suit #255
Tualatin, OR 97062-7452
Phone (503) 692-5300

Other identifiers 2

IdentifierTypeStateIssuer
073200MedicaidOR
370014245OtherORRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

7410 SW Oleson Rd
#166
Portland, OR 97223

19250 SW 65th Ave
Ste 255
Tualatin, OR 97062
Phone (503) 692-5300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1689827032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE",
            "address_2": "SUIT #255",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627452",
            "telephone_number": "503-692-5300",
            "fax_number": "503-692-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE",
            "address_2": "SUIT #255",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627452",
            "telephone_number": "503-692-5300",
            "fax_number": "503-692-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA NEPVEU, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "NEPVEU",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-692-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD18304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073200",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "370014245",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.