Active NPI
James Randolph Patterson, MD
- Pulmonary Disease Physician
- Portland, OR
National Provider Identifier
1700878097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD09607
- Practice address
- 1111 NE 99TH Ave
Portland, OR 97220-9428 - Phone
- (503) 963-3030
- Fax
- (503) 963-3140
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD09607 | OR | Primary |
Addresses
Primary practice location
1111 NE 99TH Ave
Portland, OR 97220-9428
Mailing address
975 SE Sandy Blvd
Suite 200
Portland, OR 97214-1308
Phone (503) 963-2846
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8222606 | Medicaid | WA | |
| 235069 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD09607 | OR | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic, PC | Past | Accepting new patients | |
| The Oregon Clinic PC | Pulmonary Disease | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1700878097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 SE SANDY BLVD",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141308",
"telephone_number": "503-963-2846",
"fax_number": "503-963-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 NE 99TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209428",
"telephone_number": "503-963-3030",
"fax_number": "503-963-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JAMES",
"middle_name": "RANDOLPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OR",
"license": "MD09607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8222606",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235069",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}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 Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.