Portland Rheumatology Clinic LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

MD20458 Issued in OR

Legal business name

PORTLAND RHEUMATOLOGY CLINIC LLC

Practice address

10230 SW Capitol Hwy
Portland, OR 97219-6809

Phone

(503) 244-3162

Fax

(503) 244-3166

NPI assigned

Jan 9, 2007

Last updated

Jul 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andre Barkhuizen, MDNPI 1982639480

Title

Medical Director

Phone

(503) 244-3162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

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.

• Andre Barkhuizen, M.D.

  • Rheumatology Physician
  • Portland, OR
  • NPI 1982639480
  Medicare reassignment NPD Authorized official
• Cecelia Linda Barkhuizen, LAC

  • Acupuncturist
  • Portland, OR
  • NPI 1861665283
  NPD (past)
• Elizabeth Ann Tindall, M.D.

  • Rheumatology Physician
  • Hillsboro, OR
  • NPI 1457589236
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1801945084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196809",
            "telephone_number": "503-244-3162",
            "fax_number": "503-244-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196809",
            "telephone_number": "503-244-3162",
            "fax_number": "503-244-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND RHEUMATOLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "BARKHUIZEN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-244-3162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD20458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Public Schools
• Portland Public Schools
• Portland Public Schools
• Portland Public Schools
• Portland Recovery Partners LLC
• Portland SE 10948 of Cascadia, LLC
• Portland SE 6003 of Cascadia, LLC
• Portland SE 812 of Cascadia, LLC
• Portland Sex Therapy, LLC
• Portland SNF Operations, LLC (Portland Health & Rehabilitation Center)

• Rheumatology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Rheumatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.