Active NPI
Christopher A Achterman, MD
- Orthopaedic Surgery Physician
- Portland, OR
National Provider Identifier
1811966518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD12237
- Practice address
- 501 N Graham St
Suite 200
Portland, OR 97227-1654 - Phone
- (503) 413-4488
- Fax
- (503) 413-1812
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD12237 | OR | Primary |
Addresses
Primary practice location
501 N Graham St
Suite 200
Portland, OR 97227-1654
Mailing address
501 N Graham St
Suite 200
Portland, OR 97227-1654
Phone (503) 413-4488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 232835 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12237 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1811966518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271654",
"telephone_number": "503-413-4488",
"fax_number": "503-413-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GRAHAM ST",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271654",
"telephone_number": "503-413-4488",
"fax_number": "503-413-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHTERMAN",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD12237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "232835",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.