NPIMap

Organization Active NPI

NW Occupational Medicine Center

  • Multi-Specialty Clinic/Center
  • Portland, OR
National Provider Identifier
1790921534
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NW OCCUPATIONAL MEDICINE CENTER
Practice address
12250 SW Garden PL
Portland, OR 97223-8246
Phone
(503) 684-7246
Fax
(503) 624-0724
NPI assigned
Dec 29, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Shari Welch
Title
Billing Specialist
Phone
(503) 684-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

12250 SW Garden PL
Portland, OR 97223-8246

Mailing address

12250 SW Garden PL
Portland, OR 97223-8246
Phone (503) 684-7246

National Provider Directory

National Provider Directory

Locations

12250 SW Garden Pl
Tigard, OR 97223
Phone (503) 684-7246

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1790921534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 SW GARDEN PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238246",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 SW GARDEN PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238246",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW OCCUPATIONAL MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "503-684-7246"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Dec 29, 2008; 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.