Organization Active NPI

Permanente Health Care Ventures, PC

  • Pulmonary Disease Physician
  • Portland, OR
National Provider Identifier
1851024954
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PERMANENTE HEALTH CARE VENTURES, PC
Practice address
401 NE 19TH Ave Ste 200
Portland, OR 97232-4800
Phone
(503) 917-0685
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Dr. Micah L Thorp, DONPI 1912010893
Title
President
Phone
(503) 329-9894

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Pulmonary Rehabilitation Registered Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2279P1005X

Addresses

Primary practice location

401 NE 19TH Ave Ste 200
Portland, OR 97232-4800

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031
Phone (503) 917-0685

Other names 1

  • MORLEN HEALTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221115002257 OR Part B Supplier - Clinic/Group Practice 1557739026 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1851024954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322031",
            "telephone_number": "503-917-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE 19TH AVE STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972324800",
            "telephone_number": "503-917-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMANENTE HEALTH CARE VENTURES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "THORP",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-329-9894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORLEN HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MORLEN HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.