Active NPI
Brian G Orahood
- Podiatrist
- Woodburn, OR
National Provider Identifier
1710160668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP00614
- Legal business name
- BRIAN G ORAHOOD
- Practice address
- 965 N Cascade Dr
Woodburn, OR 97071-3140 - Phone
- (503) 982-1112
- Fax
- (503) 981-0732
- NPI assigned
- Dec 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian G Orahood, DPM
- Title
- Owner
- Phone
- (503) 982-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP00614 | Primary |
Addresses
Primary practice location
965 N Cascade Dr
Woodburn, OR 97071-3140
Mailing address
965 N Cascade Dr
PO Box 221
Woodburn, OR 97071-3140
Phone (503) 982-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080747 | Medicaid | OR |
Other names 1
- Oregon Foot and Ankle Specialists
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1710160668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 N CASCADE DR",
"address_2": "PO BOX 221",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970713140",
"telephone_number": "503-982-1112",
"fax_number": "503-981-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 N CASCADE DR",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970713140",
"telephone_number": "503-982-1112",
"fax_number": "503-981-0732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN G ORAHOOD",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-14",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "ORAHOOD",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-982-1112",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": "DP00614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "080747",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Oregon Foot and Ankle Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.