Organization Active NPI

Suzanne Cleland Zamudio MD PC

  • Otolaryngology Physician
  • Portland, OR
National Provider Identifier
1871674374
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SUZANNE CLELAND ZAMUDIO MD PC
Practice address
501 N. Graham
#455
Portland, OR 97227
Phone
(503) 408-1323
Fax
(503) 408-4463
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Suzanne S Cleland-Zamudio, MD
Title
Owner/Medical Doctor
Phone
(503) 408-1323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

501 N. Graham
#455
Portland, OR 97227

Mailing address

PO Box 23200
Portland, OR 97281-3200
Phone (503) 408-1323

Other names 1

  • Portland Ear Nose and Throat Specialists PC Other name

National Provider Directory

National Provider Directory

Locations

501 N Graham St
Ste 455
Portland, OR 97227
Phone (503) 288-2358

Practitioners & affiliated clinicians

Practitioners 6

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1871674374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972813200",
            "telephone_number": "503-408-1323",
            "fax_number": "503-408-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N. GRAHAM",
            "address_2": "#455",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97227",
            "telephone_number": "503-408-1323",
            "fax_number": "503-408-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE CLELAND ZAMUDIO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "CLELAND-ZAMUDIO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MEDICAL DOCTOR",
        "authorized_official_telephone_number": "503-408-1323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Ear Nose and Throat Specialists PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 17, 2010; 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.