Active NPI
Dolores Orfanakis, M.D.
- Developmental - Behavioral Pediatrics Physician
- Lake Oswego, OR
National Provider Identifier
1902109291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- MD10132
- Practice address
- 18650 Stafford Rd
Lake Oswego, OR 97034-7662 - Phone
- (503) 638-2889
- NPI assigned
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD10132 | OR | Primary |
Addresses
Primary practice location
18650 Stafford Rd
Lake Oswego, OR 97034-7662
Mailing address
18650 Stafford Rd
Lake Oswego, OR 97034-7662
Phone (503) 638-2889
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10132 | OR | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1902109291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18650 STAFFORD RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970347662",
"telephone_number": "503-638-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18650 STAFFORD RD",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970347662",
"telephone_number": "503-638-2889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORFANAKIS",
"first_name": "DOLORES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OR",
"license": "MD10132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.