NPIMap

Organization Active NPI

West Linn Pediatrics PC

  • Specialist
  • West Linn, OR
National Provider Identifier
1821429366
Registry record updated Dec 10, 2013
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD22497 Issued in OR
Legal business name
WEST LINN PEDIATRICS PC
Practice address
1750 Blankenship Rd
Suite 275
West Linn, OR 97068-5101
Phone
(503) 657-0074
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Mr. Evan McKechnie
Title
Office Manager
Phone
(503) 657-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD22497 OR Primary

Addresses

Primary practice location

1750 Blankenship Rd
Suite 275
West Linn, OR 97068-5101

Mailing address

1750 Blankenship Rd
Suite 275
West Linn, OR 97068-5101
Phone (503) 657-0074

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1821429366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD",
            "address_2": "SUITE 275",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685101",
            "telephone_number": "503-657-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 BLANKENSHIP RD",
            "address_2": "SUITE 275",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970685101",
            "telephone_number": "503-657-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LINN PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MCKECHNIE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-657-0074",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD22497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.