Patrick L Hanley MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

0397507-8 Issued in OR

Legal business name

PATRICK L HANLEY MD PC

Practice address

10000 SE Main St
Suite 327
Portland, OR 97216-2448

Phone

(503) 256-5866

Fax

(503) 254-0655

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl A Sukau

Title

Office Manager

Phone

(503) 256-5866

Specialties & licenses 1

Addresses

Other names 1

• PACIFIC ORTHOPAEDICS & SPORTS MEDICINE Doing business as

Locations

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1861551616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 327",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-256-5866",
            "fax_number": "503-254-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 327",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-256-5866",
            "fax_number": "503-254-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK L HANLEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "SUKAU",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-256-5866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "0397507-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC ORTHOPAEDICS & SPORTS MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Patrick Petrie Psychotherapy, LLC
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• Patrick Welly, LMFT
• Zachary Glen Gordon Patrick-Riley
• Amanda G Patrick

• Orthopaedic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.