NPIMap

Organization Active NPI

Occupational Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Tualatin, OR
National Provider Identifier
1811265291
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD13624 Issued in OR
Legal business name
OCCUPATIONAL ORTHOPEDICS LLC
Practice address
6464 SW Borland Rd Ste C4
Tualatin, OR 97062-8856
Phone
(503) 885-7770
Fax
(503) 961-8454
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Ms. Dawn Jennings
Title
Office Manager
Phone
(503) 885-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD13624 OR Primary

Addresses

Primary practice location

6464 SW Borland Rd Ste C4
Tualatin, OR 97062-8856

Mailing address

6464 SW Borland Rd Ste C4
Tualatin, OR 97062-8856
Phone (503) 885-7770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1811265291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE C4",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628856",
            "telephone_number": "503-885-7770",
            "fax_number": "503-961-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD STE C4",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628856",
            "telephone_number": "503-885-7770",
            "fax_number": "503-961-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-885-7770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD13624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.