Mt Hood General and Vascular Surgeons LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD11807 Issued in OR

Legal business name

MT HOOD GENERAL AND VASCULAR SURGEONS LLC

Practice address

17040 Pilkington Rd
Suite 208
Lake Oswego, OR 97035-5587

Phone

(503) 636-0776

Fax

(503) 675-5101

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Doreen Rouse

Title

Office Manager

Phone

(503) 636-0776

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Shaghayegh Aliabadi, M.D.

  • Surgery Physician
  • Portland, OR
  • NPI 1083785562
  NPD (past)
• Alexander Demetre Nicoloff, M.D.

  • Vascular Surgery Physician
  • Portland, OR
  • NPI 1386610277
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1710106687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 PILKINGTON RD",
            "address_2": "SUITE 208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355587",
            "telephone_number": "503-661-4526",
            "fax_number": "503-675-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 PILKINGTON RD",
            "address_2": "SUITE 208",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355587",
            "telephone_number": "503-636-0776",
            "fax_number": "503-675-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT HOOD GENERAL AND VASCULAR SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-636-0776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD11822",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD11807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evangelina Mosqueda
• Pardise Mossalman
• Mountain Park Pharmacy
• Mountain Peak Counseling, LLC
• Kenzie Mozejko
• Christina M Mueller, L.M.T.
• Stacey Mueller, BS, RDH
• Maureen M Mulcahy, M.D.
• Colleen L Mullins, LMT
• Nancy Munoz-Garcia

• Vascular Surgery Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Vascular Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.