Organization Active NPI

Northwest ENT and Allergy Care Inc

  • Otolaryngology Physician
  • Milwaukie, OR
National Provider Identifier
1700927928
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD25584 Issued in OR
Legal business name
NORTHWEST ENT AND ALLERGY CARE INC
Practice address
10330 SE 32ND Ave
Suite 320
Milwaukie, OR 97222-6587
Phone
(503) 513-8693
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Adrian Eduardo Varela, MDNPI 1366452054
Title
President
Phone
(503) 281-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X MD25584 OR Primary

Addresses

Primary practice location

10330 SE 32ND Ave
Suite 320
Milwaukie, OR 97222-6587

Mailing address

10330 SE 32ND Ave
Suite 320
Milwaukie, OR 97222-6587
Phone (503) 513-8693

Other identifiers 2

IdentifierTypeStateIssuer
006456MedicaidOR
241602MedicaidOR

Other names 1

  • Northwest ENT & Allergy Care, PC Doing business as

National Provider Directory

National Provider Directory

Locations

5847 NE 122nd Ave
Portland, OR 97230
Phone (503) 256-3401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1145/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1700927928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE",
            "address_2": "SUITE 320",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226587",
            "telephone_number": "503-513-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10330 SE 32ND AVE",
            "address_2": "SUITE 320",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226587",
            "telephone_number": "503-513-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ENT AND ALLERGY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "VARELA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-281-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD25584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006456",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241602",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest ENT & Allergy Care, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.