Organization Active NPI

Pentimento, Inc.

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1710164181
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2421 Issued in OR
Legal business name
PENTIMENTO, INC.
Practice address
522 NW 12TH Ave
Portland, OR 97209-3001
Phone
(503) 227-2886
Fax
(503) 790-1004
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Peter E. Leitner, D.C.
Title
President
Phone
(503) 227-2886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2421 OR Primary

Addresses

Primary practice location

522 NW 12TH Ave
Portland, OR 97209-3001

Mailing address

522 NW 12TH Ave.
Portland, OR 97209
Phone (503) 227-2886

National Provider Directory

National Provider Directory

Locations

522 NW 12th Ave
Portland, OR 97209
Phone (503) 227-2886

Practitioners & affiliated clinicians

Practitioners 1

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1710164181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 NW 12TH AVE.",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97209",
            "telephone_number": "503-227-2886",
            "fax_number": "503-790-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 NW 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093001",
            "telephone_number": "503-227-2886",
            "fax_number": "503-790-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTIMENTO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "LEITNER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-227-2886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "2421",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 28, 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.

Verify at the official NPI Registry.