Individual provider Active NPI

Oleg N. Zbirun, M.D.

  • Internal Medicine Physician
  • Vancouver, WA
National Provider Identifier
1760635833
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD60208873 Issued in WA
Practice address
1499 SE Tech Center PL Ste 190
Vancouver, WA 98683-5529
Phone
(360) 828-7802
Fax
(360) 326-2606
NPI assigned
Nov 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.MD.60208873 WA
Internal Medicine Physician 207R00000X MD185141 OR
Hospitalist Physician 208M00000X MD.MD.60208873 WA
Hospitalist Physician 208M00000X MD185141 OR
Internal Medicine Physician 207R00000X MD60208873 WA Primary

Addresses

Primary practice location

1499 SE Tech Center PL Ste 190
Vancouver, WA 98683-5529

Mailing address

16420 SE McGillivray Blvd # 103-253
Vancouver, WA 98683-3461
Phone (360) 828-7802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110927000434 WA Practitioner - Internal Medicine 2961673793 Reassigns benefits to 2 organizations
I20180227002256 OR Practitioner - Internal Medicine 2961673793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Phoenix Group PLLCGroup PAC ID 5799148854, 8 clinicians

Practice addresses (Care Compare)

2501 NE 134TH St
Suite 104
Vancouver, WA 98686-3027
Phone (360) 828-7802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD185141ORMDInternal Medicine Physician
MD.MD.60208873WAMDInternal Medicine Physician
MD60208873WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Phoenix Group PLLC CurrentSince Jun 16, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 29, 2018 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine CurrentSince Jan 29, 2018 Accepting new patients

Locations

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

8524 Steilacoom Blvd SW
Ste 102B
Lakewood, WA 98498
Phone (253) 237-3348

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

1499 SE Tech Center Pl
Ste 190
Vancouver, WA 98683
Phone (360) 773-6340

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

16420 SE McGillivray Blvd
Ste 103253
Vancouver, WA 98683

2501 NE 134th St
Ste 104
Vancouver, WA 98686
Phone (360) 828-7802

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1760635833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE MCGILLIVRAY BLVD # 103-253",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833461",
            "telephone_number": "360-828-7802",
            "fax_number": "360-326-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 SE TECH CENTER PL STE 190",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835529",
            "telephone_number": "360-828-7802",
            "fax_number": "360-326-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZBIRUN",
        "first_name": "OLEG",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-02",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD.MD.60208873",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD185141",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD.MD.60208873",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD185141",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60208873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.