Active NPI
John T. Pham, DO, PC
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1891964409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO23388
- Legal business name
- JOHN T. PHAM, DO, PC
- Practice address
- 7240 NE Sandy Blvd
Portland, OR 97213-5741 - Phone
- (503) 335-8700
- Fax
- (503) 445-6695
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John T Pham, DO
- Title
- Physician/Owner
- Phone
- (503) 335-8700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO23388 | OR | Primary |
Addresses
Primary practice location
7240 NE Sandy Blvd
Portland, OR 97213-5741
Mailing address
7240 NE Sandy Blvd
Portland, OR 97213-5741
Phone (503) 335-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226856 | Medicaid | OR |
Other names 1
- Rose City Family Medicine, PC
National Provider Directory
National Provider DirectoryLocations
7240 NE Sandy Blvd
Portland, OR 97213
Phone (503) 335-8700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1912061623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250294400000",
"number": "1891964409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7240 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135741",
"telephone_number": "503-335-8700",
"fax_number": "503-445-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7240 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135741",
"telephone_number": "503-335-8700",
"fax_number": "503-445-6695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN T. PHAM, DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2009-08-15",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "503-335-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": "DO23388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226856",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rose City Family Medicine, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 15, 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.