Care Nimble Medical Group Oregon PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CARE NIMBLE MEDICAL GROUP OREGON PC

Practice address

15480 SW 155TH CT
Beaverton, OR 97007-8111

Phone

(319) 512-9782

NPI assigned

Dec 3, 2024

Last updated

Dec 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erik R Vanderlip, MD MPHNPI 1306044524

Title

President

Phone

(319) 512-9782

Specialties & licenses 1

Addresses

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.

• Erik R Vanderlip, M.D.

  • Psychiatry Physician
  • Lake Oswego, OR
  • NPI 1306044524
  NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1700692985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15480 SW 155TH CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 SW 155TH CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078111",
            "telephone_number": "319-512-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE NIMBLE MEDICAL GROUP OREGON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "VANDERLIP",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-512-9782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD MPH"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia D Caraballo-Hunt, MD
• Kori Lynne Carbonaro, RN, BSN
• Andrew S Carbungco
• Marai Patricia Cardiel
• Julio Cesar Cardona Jr., D.C.
• Caregivers Nationwide
• Careoregon Community Health, LLC
• Katherine Elaina Carey, CSWA
• Caring for Portland LLC (Caring for Portland)
• Caring Smiles Dental, LLC

• Psychiatry Physician in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.