Oregon Sports Medicine Associates

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

OREGON SPORTS MEDICINE ASSOCIATES

Doing business as

Sports Medicine Oregon

Practice address

909 SW 18TH Ave
Portland, OR 97205-1705

Phone

(503) 692-8700

Fax

(503) 692-8710

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Greenleaf, M.D.NPI 1568469278

Title

President

Phone

(503) 692-8700

Specialties & licenses 1

Addresses

Other names 1

• Sports Medicine Oregon Doing business as

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.

• Jonathan Edward Greenleaf, M.D.

  • Specialist
  • Tigard, OR
  • NPI 1568469278
  Authorized official Same address or phone

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1700151065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 SW CHILDS RD",
            "address_2": "SUITE B",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247772",
            "telephone_number": "503-692-8700",
            "fax_number": "503-692-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051705",
            "telephone_number": "503-692-8700",
            "fax_number": "503-692-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON SPORTS MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "GREENLEAF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-692-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oregon Relief Resource Center LLC
• Oregon Scottish Rite Clinics
• Oregon Scottish Rite Clinics
• Oregon Sleep and Pulmonary, LLC (Oregon Sleep Associates)
• Oregon Speech & Language
• Oregon St. Martin Charities Org (St. Martin Charities LLC)
• Oregon Surgical Consultants PC
• Oregon Tinn & Hyperacusis Treatment Center Inc.
• Oregon Urology Clinic PC
• Oregon Weight Loss Surgery LLC

• Orthopaedic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.