Organization Active NPI

Robert Von Borstel II, MD, PC

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1851472047
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD22078 Issued in OR
Legal business name
ROBERT VON BORSTEL II, MD, PC
Practice address
9450 SW Barnes Rd
Ste 230
Portland, OR 97225-6619
Phone
(503) 292-6238
Fax
(503) 292-9680
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Robert C Von Borstel II, MDNPI 1447240197
Title
Owner
Phone
(503) 292-6238

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD22078 OR Primary

Addresses

Primary practice location

9450 SW Barnes Rd
Ste 230
Portland, OR 97225-6619

Mailing address

3439 NE Sandy Blvd
PMB 375
Portland, OR 97232-1959
Phone (503) 284-8841

Other identifiers 1

IdentifierTypeStateIssuer
130305MedicaidOR

National Provider Directory

National Provider Directory

Locations

9450 SW Barnes Rd
Ste 230
Portland, OR 97225
Phone (503) 292-6238

3439 NE Sandy Blvd
Portland, OR 97232
Phone (503) 284-8841

Practitioners & affiliated clinicians

Practitioners 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1851472047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 NE SANDY BLVD",
            "address_2": "PMB 375",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321959",
            "telephone_number": "503-284-8841",
            "fax_number": "503-282-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 SW BARNES RD",
            "address_2": "STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256619",
            "telephone_number": "503-292-6238",
            "fax_number": "503-292-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT VON BORSTEL II, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "VON BORSTEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-292-6238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD22078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130305",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 11, 2007; 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.