Organization Active NPI

John T. Pham, DO, PC

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1891964409
Registry record updated Aug 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO23388 Issued in OR
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

Updated by the provider on Aug 15, 2009

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

Authorized official

Name
Dr. John T Pham, DONPI 1912061623
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
226856MedicaidOR

Other names 1

  • Rose City Family Medicine, PC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.