Paul Endisch

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

399445 Issued in OR

Practice address

9370 SW Greenburg Rd Ste M
Portland, OR 97223-5408

Phone

(503) 200-5750

NPI assigned

Jul 15, 2022

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Arm Dynamics of the Northwest, LLC

  • Prosthetic/Orthotic Supplier
  • Portland, OR
  • NPI 1548593700
  NPD (past)

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1831823715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NE 141ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972303330",
            "telephone_number": "408-464-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD STE M",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235408",
            "telephone_number": "503-200-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDISCH",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "399445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tala Endacott
• Garmony Nlandu Endambo, LPN
• Endeavor Counseling and Consultation LLC
• Endeavor Psychiatry, LLC
• Jessica Dawn Enderton, MSPT
• Celeste Endlich
• Andrew Seiya Endo
• Carol Yoshie Endo, M.D.
• Endodontic Associates, P.C.
• Haley Endres

• All providers in Portland, OR
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.