Active NPI
Hector Manuel Rodriguez, D.O.
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1861521411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO17335
- Practice address
- 1820 SW Vermont St
Suite a
Portland, OR 97219-1945 - Phone
- (503) 977-9838
- Fax
- (503) 977-9624
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO17335 | OR | Primary |
Addresses
Primary practice location
1820 SW Vermont St
Suite a
Portland, OR 97219-1945
Mailing address
1820 SW Vermont St
Suite a
Portland, OR 97219-1945
Phone (503) 977-9838
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063235 | Medicaid | OR | |
| K867001 | Other | OR | PACIFIC SOURCE |
| 4525022 | Other | OR | AETNA |
| 0071287 | Other | WASHINGTON DEPT L & I | |
| 1699495 | Other | OR | CIGNA |
| M5745 | Other | OR | HEALTHNET OF OREGON |
| 302840 | Other | OR | PROVIDENCE HEALTH PLAN |
| 0001424435 | Other | OR | HIGHMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1861521411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 SW VERMONT ST",
"address_2": "SUITE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191945",
"telephone_number": "503-977-9838",
"fax_number": "503-977-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SW VERMONT ST",
"address_2": "SUITE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191945",
"telephone_number": "503-977-9838",
"fax_number": "503-977-9624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "HECTOR",
"middle_name": "MANUEL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO17335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063235",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFIC SOURCE",
"identifier": "K867001",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4525022",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DEPT L & I",
"identifier": "0071287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1699495",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF OREGON",
"identifier": "M5745",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDENCE HEALTH PLAN",
"identifier": "302840",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "0001424435",
"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 Jul 9, 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.