Organization Active NPI

Osteopathic PDX, P.C.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Portland, OR
National Provider Identifier
1821369430
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO26929 Issued in OR
Legal business name
OSTEOPATHIC PDX, P.C.
Practice address
4039 N Mississippi Ave Ste 203
Portland, OR 97227-1477
Phone
(503) 970-2303
Fax
(503) 719-7591
NPI assigned
Jan 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Gregory John Esmer, D.O.NPI 1891871455
Title
Owner
Phone
(503) 970-2303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X DO26929 OR Primary

Addresses

Primary practice location

4039 N Mississippi Ave Ste 203
Portland, OR 97227-1477

Mailing address

4039 N Mississippi Ave Ste 203
Portland, OR 97227-1477
Phone (503) 970-2303

National Provider Directory

National Provider Directory

Locations

4039 N Mississippi Ave
Ste 203
Portland, OR 97227
Phone (503) 412-2392

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1821369430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "503-970-2303",
            "fax_number": "503-719-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 N MISSISSIPPI AVE STE 203",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271477",
            "telephone_number": "503-970-2303",
            "fax_number": "503-719-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC PDX, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "ESMER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-970-2303",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OR",
            "license": "DO26929",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 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.