Vickie T. Pham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201709150NP-PP Issued in OR

Practice address

5 Centerpointe Dr Ste 600
Lake Oswego, OR 97035-8662

Phone

(503) 603-7355

NPI assigned

Feb 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1821598921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 600",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CENTERPOINTE DR STE 600",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358662",
            "telephone_number": "503-603-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VICKIE",
        "middle_name": "T.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201709150NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel S. Peterson, N.D.
• Charles Justin Petit, M.D.
• Mark A. Petroff, M.D.
• Amalia Margaret Iwasaki Pfeifer, PT
• Tuan Ngoc Pham
• Nina Pherigo, NP
• Philip C. Mann, DDS, MD, LLC (Cascade Oral and Facial Surgery)
• Katherine Hess Phillips, O.D.
• Kendelle Phillips
• Susan Pinkley, L.P.C.

• Family Nurse Practitioner in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.