Mt Hood Women'S Health PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

12-00004737 Issued in OR

Legal business name

MT HOOD WOMEN'S HEALTH PC

Practice address

24850 SE Stark St
Suite 200
Gresham, OR 97030

Phone

(503) 491-9444

Fax

(503) 661-1420

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Elaine J Beeble, ADMINISTRATOR

Title

Administrator

Phone

(503) 491-9444

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1801968086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST.,",
            "address_2": "SUITE 200",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-491-9444",
            "fax_number": "503-661-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24850 SE STARK ST",
            "address_2": "SUITE 200",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "97030",
            "telephone_number": "503-491-9444",
            "fax_number": "503-661-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT HOOD WOMEN'S HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "BEEBLE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-491-9444",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "12-00004737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278550",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soua Ly Moua
• Mountain View Hearing Aid Center
• Mountainview MRI LLC
• Kathleen A. Mounts, LCSW
• Moving Boundaries, Inc
• Mt. Hood Adult Day Center LLC
• Mt. Hood Vision Center, LLC
• Mt. Hood Vision, Inc
• Mt. View Rehabilitation Services, Inc.
• MTH Clinic PC

• Medical Specialty Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.