NPIMap

Organization Active NPI

Nancy Borman, D.O., PC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1750746004
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
DO19719 Issued in OR
Legal business name
NANCY BORMAN, D.O., PC
Practice address
1585 SW Marlow Ave
Site 200
Portland, OR 97225-5176
Phone
(503) 548-4008
Fax
(971) 266-8251
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Nancy Lynne Borman, D.O.
Title
Owner/Physician
Phone
(503) 548-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X DO19719 OR Primary

Addresses

Primary practice location

1585 SW Marlow Ave
Site 200
Portland, OR 97225-5176

Mailing address

1585 SW Marlow Ave
Site 200
Portland, OR 97225-5176
Phone (503) 548-4008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1750746004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 SW MARLOW AVE",
            "address_2": "SITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255176",
            "telephone_number": "503-548-4008",
            "fax_number": "971-266-8251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 SW MARLOW AVE",
            "address_2": "SITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255176",
            "telephone_number": "503-548-4008",
            "fax_number": "971-266-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY BORMAN, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "BORMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-548-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "DO19719",
            "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 Dec 30, 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.