NPIMap

Organization Active NPI

Interventional and Vascular Consultants PC

  • Vascular & Interventional Radiology Physician
  • Wilsonville, OR
National Provider Identifier
1770889388
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
INTERVENTIONAL AND VASCULAR CONSULTANTS PC
Practice address
25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Phone
(503) 612-0498
Fax
(503) 459-0521
NPI assigned
Jan 28, 2011
Last updated
May 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Michael E Pfister, M.D.
Title
President
Phone
(503) 612-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816

Mailing address

25030 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9816
Phone (503) 612-0498

National Provider Directory

National Provider Directory

Locations

6464 SW Borland Rd
Ste A4
Tualatin, OR 97062
Phone (503) 612-0498

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1770889388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709816",
            "telephone_number": "503-612-0498",
            "fax_number": "503-459-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 SW PARKWAY AVE STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709816",
            "telephone_number": "503-612-0498",
            "fax_number": "503-459-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL AND VASCULAR CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "PFISTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-612-0498",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.