NPIMap

Organization Active NPI

Northwest Cardiovascular Institute, LLP

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1790777258
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
428335 Issued in OR
Legal business name
NORTHWEST CARDIOVASCULAR INSTITUTE, LLP
Practice address
2222 NW Lovejoy St
#606
Portland, OR 97210-3033
Phone
(503) 229-7554
Fax
(503) 274-5400
NPI assigned
Aug 19, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bradley G Titus, M.D.
Title
Managing Partner
Phone
(503) 229-7554

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

365 Warner Milne Rd
Ste 204
Oregon City, OR 97045
Phone (503) 692-0405

10000 SE Main St
Ste 60
Portland, OR 97216
Phone (503) 257-0959

1200 NW Naito Pkwy
Ste 200
Portland, OR 97209
Phone (503) 943-2340

2802 SE Steele St
Portland, OR 97202
Phone (503) 239-0156

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 428335 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

2222 NW Lovejoy St
#606
Portland, OR 97210-3033

Mailing address

2222 NW Lovejoy St
#606
Portland, OR 97210-3033
Phone (503) 229-7554

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
7127137MedicaidWA
0621650OtherORBLUE CROSS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2012.

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1790777258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "#606",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "#606",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CARDIOVASCULAR INSTITUTE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "503-229-7554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "428335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127137",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0621650",
            "state": "OR"
        }
    ],
    "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 Oct 5, 2012; 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.