NPIMap

Organization Active NPI

Integral Health PC

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1861661241
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DO14108 Issued in OR
Legal business name
INTEGRAL HEALTH PC
Practice address
2950 SE Stark St Ste 210
Portland, OR 97214-3082
Phone
(503) 235-3767
Fax
(503) 236-9537
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Craig Calvin Redfern, DO
Title
President
Phone
(503) 235-3767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X DO14108 OR Primary

Addresses

Primary practice location

2950 SE Stark St Ste 210
Portland, OR 97214-3082

Mailing address

2950 SE Stark St Ste 210
Portland, OR 97214-3082
Phone (503) 235-3767

National Provider Directory

National Provider Directory

Locations

2950 SE Stark St
Ste 210
Portland, OR 97214
Phone (503) 235-3767

545 NE 47th Ave
Ste 325
Portland, OR 97213
Phone (503) 235-3767

5635 NE Alameda St
Ste B
Portland, OR 97213
Phone (503) 235-3767

Practitioners & affiliated clinicians

Practitioners 4

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1861661241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SE STARK ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143082",
            "telephone_number": "503-235-3767",
            "fax_number": "503-236-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SE STARK ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143082",
            "telephone_number": "503-235-3767",
            "fax_number": "503-236-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "REDFERN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-235-3767",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 30, 2016; 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.