Oregon Health Endocrinology

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

OREGON HEALTH ENDOCRINOLOGY

Practice address

6475 SW Borland Rd Ste L
Tualatin, OR 97062-9708

Phone

(732) 895-2527

NPI assigned

Mar 12, 2021

Last updated

Mar 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yusuf Mathai, MDNPI 1588919799

Title

Part Owner

Phone

(732) 895-2527

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yusuf Tumuti Mathai, MD

  • Family Medicine Physician
  • Tualatin, OR
  • NPI 1588919799
  NPD Authorized official

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1891370771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE STE 105",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-506-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 SW BORLAND RD STE L",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629708",
            "telephone_number": "732-895-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "YUSUF",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "732-895-2527",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oregon City Medical NW, Inc (Tualatin Family Medicine)
• Oregon Clinic, PC (The Oregon Clinic Endoscopy Center - Tualatin)
• Oregon Department of Corrections
• Oregon Eye Specialists, PC (The Sight Shop)
• Oregon Eye Specialists, PC (The Sight Shop)
• Oregon Neurology PC
• Oregon Occupational Medicine
• Oregon Pediatrics- Meridian Park, LLC
• Oregon Spine Care LLC (Oregon Spine Care)
• Nathan Daniel Orvets, MD

• Endocrinology, Diabetes & Metabolism Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.