Active NPI
Haruka Swendsen Snow, MD
- Surgery Physician
- Oregon City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD201078
- Practice address
- 1510 Division St Ste 210
Oregon City, OR 97045-1599 - Phone
- (503) 723-6525
- NPI assigned
- Feb 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD201078 | OR | Primary |
Addresses
Primary practice location
1510 Division St Ste 210
Oregon City, OR 97045-1599
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
9200 SE 91st Ave
Suite 320
Portland, OR 97086-3756
Phone (503) 353-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500689777 | Medicaid | OR |
Other names 1
- Haruka C Swendsen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hsnow527785@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Oregon Cosmetic and Reconstructive Clinic, PC | Past | Accepting new patients |
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
1510 Division St
Ste 170
Oregon City, OR 97045
Phone (503) 215-6819
1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631
1510 Division St
Ste 210
Oregon City, OR 97045
Phone (503) 655-6313
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
- Clinical Pathology Physician
- Oregon City, OR
- NPI 1003368911
-
- Clinical Pathology Physician
- Milwaukie, OR
- NPI 1578014239
-
- Psychiatric Hospital Unit
- Milwaukie, OR
- NPI 1659751360
-
- Plastic Surgery Physician
- Milwaukie, OR
- NPI 1407177934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1891119947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 DIVISION ST STE 210",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451599",
"telephone_number": "503-723-6525"
}
],
"practiceLocations": [
{
"address_1": "9200 SE 91st Ave",
"address_2": "Suite 320",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "970863756",
"country_code": "US",
"telephone_number": "503-353-3005",
"fax_number": "503-543-3201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNOW",
"first_name": "HARUKA",
"middle_name": "SWENDSEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD201078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500689777",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hsnow527785@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1510 Division St Ste 210",
"city": "Oregon City",
"state": "OR",
"country_code": "US",
"postal_code": "970451599",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HARUKA",
"last_name": "SWENDSEN",
"middle_name": "C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.