Organization Active NPI

Kristen E Flemmer MD PC

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1750688404
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD18550 Issued in OR
Legal business name
KRISTEN E FLEMMER MD PC
Practice address
333 SE 7TH Ave Ste 5550
Hillsboro, OR 97123-5193
Phone
(503) 681-4273
Fax
(503) 681-1953
NPI assigned
Feb 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Kristen Elizabeth Flemmer, M.D
Title
President
Phone
(503) 681-4273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD18550 OR Primary

Addresses

Primary practice location

333 SE 7TH Ave Ste 5550
Hillsboro, OR 97123-5193

Mailing address

333 SE 7TH Ave Ste 5550
Hillsboro, OR 97123-5193
Phone (503) 681-4273

Other identifiers 1

IdentifierTypeStateIssuer
150082MedicaidOR

National Provider Directory

National Provider Directory

Locations

333 SE 7th Ave
Ste 5550
Hillsboro, OR 97123
Phone (503) 681-4273

100 SW Baseline St
Hillsboro, OR 97123
Phone (503) 681-4273

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": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1750688404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SE 7TH AVE STE 5550",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235193",
            "telephone_number": "503-681-4273",
            "fax_number": "503-681-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SE 7TH AVE STE 5550",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235193",
            "telephone_number": "503-681-4273",
            "fax_number": "503-681-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN E FLEMMER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "FLEMMER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-681-4273",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150082",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.