Individual provider Active NPI

Julie K O'Toole, M.D.

  • Pediatric Adolescent Medicine Physician
  • Portland, OR
National Provider Identifier
1780760785
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
MD17454 Issued in OR
Practice address
3530 N Vancouver Ave Ste 400
Portland, OR 97227-1798
Phone
(503) 249-8851
Fax
(503) 282-3409
NPI assigned
Oct 31, 2006
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X MD17454 OR Primary

Addresses

Primary practice location

3530 N Vancouver Ave Ste 400
Portland, OR 97227-1798

Mailing address

3530 N Vancouver Ave Ste 400
Portland, OR 97227-1798
Phone (503) 249-8851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kartini Clinic PC Adolescent Medicine CurrentSince Jul 24, 2022 Accepting new patients

Locations

3530 N Vancouver Ave
Ste 400
Portland, OR 97227
Phone (503) 249-8851

Interoperability endpoints

  • Direct secure messaging: jotoole21645@direct.slhs.org
  • Direct secure messaging: jotoole8101@direct.lhs.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1780760785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 N VANCOUVER AVE STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271798",
            "telephone_number": "503-249-8851",
            "fax_number": "503-282-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 N VANCOUVER AVE STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271798",
            "telephone_number": "503-249-8851",
            "fax_number": "503-282-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OR",
            "license": "MD17454",
            "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 Jan 17, 2019; 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.