Organization Active NPI

Affordable Health Clinics

  • Primary Care Clinic/Center
  • Tigard, OR
National Provider Identifier
1821379223
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
14698 Issued in OR
Legal business name
AFFORDABLE HEALTH CLINICS
Practice address
12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125
Phone
(503) 974-6170
Fax
(503) 208-7198
NPI assigned
Aug 30, 2011
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Robert John Tilley, M.D.NPI 1114044393
Title
Owner
Phone
(504) 974-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 14698 OR Primary

Addresses

Primary practice location

12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125

Mailing address

12720 SW Pacific Hwy Ste 1
Tigard, OR 97223-6125
Phone (503) 974-6170

National Provider Directory

National Provider Directory

Locations

12720 SW Pacific Hwy
Ste 1
Tigard, OR 97223
Phone (503) 603-3342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1821379223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 SW PACIFIC HWY STE 1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236125",
            "telephone_number": "503-974-6170",
            "fax_number": "503-208-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 SW PACIFIC HWY STE 1",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236125",
            "telephone_number": "503-974-6170",
            "fax_number": "503-208-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-974-6170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "14698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.