Active NPI
Oleg N. Zbirun, M.D.
- Internal Medicine Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60208873
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD185141 | OR | MD | Internal Medicine Physician |
| MD.MD.60208873 | WA | MD | Internal Medicine Physician |
| MD60208873 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Phoenix Group PLLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Internal Medicine | Current | 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.
-
dba Pacific Phoenix Psychiatry
- Psychiatry Physician
- Vancouver, WA
- NPI 1235765280
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Internal Medicine, WA
-
dba Interstate Radiation Oncology
- Radiation Oncology Clinic/Center
- Portland, OR
- NPI 1093043424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.