NPIMap

Organization Active NPI

Inhousedoc

  • Health Service Clinic/Center
  • Tigard, OR
National Provider Identifier
1801296447
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
14698 Issued in OR
Legal business name
INHOUSEDOC
Practice address
12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125
Phone
(503) 974-6170
Fax
(503) 208-7198
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Robert John Tilley, M.D.
Title
Owner
Phone
(503) 974-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 14698 OR Primary

Addresses

Primary practice location

12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125

Mailing address

12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125
Phone (503) 974-6170

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1801296447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 SW PACIFIC HWY STE 1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236125",
            "telephone_number": "503-974-6170",
            "fax_number": "503-208-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 SW PACIFIC HWY STE 1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236125",
            "telephone_number": "503-974-6170",
            "fax_number": "503-208-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INHOUSEDOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-974-6170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "14698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.