Organization Active NPI

Viking Medical Practice PC

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1801011630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8489 Issued in OR
Legal business name
VIKING MEDICAL PRACTICE PC
Practice address
5560 SW Hewett Blvd
Portland, OR 97221-2239
Phone
(503) 297-8751
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Thomas Hoggard, MD
Title
President
Phone
(503) 297-8751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 8489 OR Primary

Addresses

Primary practice location

5560 SW Hewett Blvd
Portland, OR 97221-2239

Mailing address

5560 SW Hewett Blvd
Portland, OR 97221-2239
Phone (503) 297-8751

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801011630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 SW HEWETT BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212239",
            "telephone_number": "503-297-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 SW HEWETT BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212239",
            "telephone_number": "503-297-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIKING MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGGARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-297-8751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "8489",
            "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 Aug 22, 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.