Undono Care Portland 1, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

UNDONO CARE PORTLAND 1, LLC

Practice address

2850 SE 82ND Ave Unit 8
Portland, OR 97266-1599

Phone

(503) 954-3219

Fax

(503) 387-5223

NPI assigned

Nov 18, 2016

Organization subpart

No

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

Authorized official

Name

Trinh DO

Title

Manager

Phone

(503) 954-3219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1699218925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 SE 82ND AVE UNIT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661599",
            "telephone_number": "503-954-3219",
            "fax_number": "503-387-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 SE 82ND AVE UNIT 8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661599",
            "telephone_number": "503-954-3219",
            "fax_number": "503-387-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDONO CARE PORTLAND 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-18",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TRINH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-954-3219"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Portland, OR
• Providers in Portland, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.