NPIMap

Organization Active NPI

Rebecca Berzow ND

  • Primary Care Clinic/Center
  • Beaverton, OR
National Provider Identifier
1730518754
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1871 Issued in OR
Legal business name
REBECCA BERZOW ND
Practice address
15455 NW Greenbrier Pkwy Ste 100
Beaverton, OR 97006-7357
Phone
(971) 231-4372
Fax
(971) 277-6027
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Rebecca Berzow, NDNPI 1164799813
Title
Doctor
Phone
(971) 231-4372

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Primary Care Clinic/Center 261QP2300X 1871 OR Primary

Addresses

Primary practice location

15455 NW Greenbrier Pkwy Ste 100
Beaverton, OR 97006-7357

Mailing address

15455 NW Greenbrier Pkwy Ste 100
Beaverton, OR 97006-7357
Phone (971) 231-4372

Other identifiers 2

IdentifierTypeStateIssuer
1871OtherORLICENSE
1164799813OtherORINDIVIDUAL NPI

National Provider Directory

National Provider Directory

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": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1730518754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067357",
            "telephone_number": "971-231-4372",
            "fax_number": "971-277-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15455 NW GREENBRIER PKWY STE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067357",
            "telephone_number": "971-231-4372",
            "fax_number": "971-277-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BERZOW ND",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "BERZOW",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "971-231-4372",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "1871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1871",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164799813",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.