Physician Directed Services, Inc.

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

PHYSICIAN DIRECTED SERVICES, INC.

Practice address

3030 SW 10TH Ave Apt 20
Portland, OR 97239-3085

Phone

(971) 218-9062

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Paul Reynolds

Title

President

Phone

(971) 218-9062

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1720377971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 SW 10TH AVE APT 20",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393085",
            "telephone_number": "971-218-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 SW 10TH AVE APT 20",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393085",
            "telephone_number": "971-218-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN DIRECTED SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-218-9062"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Portland, OR
• Providers in Portland, OR by specialty
• Other Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.