Oakridge Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD09151 Issued in OR

Legal business name

OAKRIDGE MEDICAL CLINIC

Practice address

4309 Oakridge Rd
Lake Oswego, OR 97035-3418

Phone

(503) 636-9687

Fax

(503) 636-9680

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Linda Bents Nicoll

Title

Clinic Manager

Phone

(503) 534-5135

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• H Freeman Harris, M.D. P.C. Other name

Practitioners 1

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

• Cynthia E Dumler, M.D.

  • Family Medicine Physician
  • Lake Oswego, OR
  • NPI 1851342489
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1801062179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 OAKRIDGE RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353418",
            "telephone_number": "503-636-9687",
            "fax_number": "503-636-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 OAKRIDGE RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353418",
            "telephone_number": "503-636-9687",
            "fax_number": "503-636-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKRIDGE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "NICOLL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BENTS",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "503-534-5135",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD09151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086264",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H Freeman Harris, M.D. P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brighid Griosal O'Neill, SLP
• Kelly Anne O'Neill
• Morganne O'Neill, LMT
• Ivy O'Rourke, BT
• Cera Oakes
• OB GYN Breast Imaging PC
• Occupational Health Centers of the Southwest P.a.
• Shannon Odell, PSYD
• Odyssey Healthcare Operating a LP
• Odyssey Science Innovations, LLC

• Clinic/Center in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.