Active NPI
Limelight Group
- Anesthesiology Physician
- Portland, OR
National Provider Identifier
1821370875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DO25617
- Legal business name
- LIMELIGHT GROUP
- Practice address
- 11782 SW Barnes Rd
Building C Suite 200
Portland, OR 97225-5914 - Phone
- (503) 906-4300
- Fax
- (503) 906-4333
- NPI assigned
- Sep 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Enrique A. Abreu, DO
- Title
- Owner
- Phone
- (503) 927-5994
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO25617 | OR | Primary |
Addresses
Primary practice location
11782 SW Barnes Rd
Building C Suite 200
Portland, OR 97225-5914
Mailing address
1730 SW Harbor Way
Unit 507
Portland, OR 97201-5100
Phone (503) 927-5994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269726 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
1000 Willagillespie Rd
Ste 350
Eugene, OR 97401
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1386618601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316044800000",
"number": "1821370875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 SW HARBOR WAY",
"address_2": "UNIT 507",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015100",
"telephone_number": "503-927-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11782 SW BARNES RD",
"address_2": "BUILDING C SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255914",
"telephone_number": "503-906-4300",
"fax_number": "503-906-4333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIMELIGHT GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A",
"authorized_official_last_name": "ABREU",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-927-5994",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OR",
"license": "DO25617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269726",
"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 Sep 15, 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.