Organization Active NPI

Center for Environmental Medicine, LLP

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1760428981
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20138 Issued in OR
Legal business name
CENTER FOR ENVIRONMENTAL MEDICINE, LLP
Practice address
10748 NE Halsey St
Portland, OR 97220-3961
Phone
(503) 261-0966
Fax
(503) 252-2691
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Mr. John T Wade
Title
Office Manager
Phone
(503) 261-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD20138 OR Primary

Addresses

Primary practice location

10748 NE Halsey St
Portland, OR 97220-3961

Mailing address

10748 NE Halsey St
Portland, OR 97220-3961
Phone (503) 261-0966

National Provider Directory

National Provider Directory

Locations

177 NE 102nd Ave
Bldg V
Portland, OR 97220
Phone (503) 261-0966

10748 NE Halsey St
Portland, OR 97220
Phone (503) 257-9881

Practitioners & affiliated clinicians

Practitioners 2

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": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1760428981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10748 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203961",
            "telephone_number": "503-261-0966",
            "fax_number": "503-252-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10748 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203961",
            "telephone_number": "503-261-0966",
            "fax_number": "503-252-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ENVIRONMENTAL MEDICINE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-261-0966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20138",
            "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 26, 2007; 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.