Organization Active NPI

Judith Richmond MD PC

  • Medical Specialty Clinic/Center
  • Beaverton, OR
National Provider Identifier
1902979248
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
JUDITH RICHMOND MD PC
Practice address
8950 SW Nimbus Ave
Suite 150
Beaverton, OR 97008-7478
Phone
(503) 697-3255
Fax
(503) 697-7792
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Judith Richmond, M.D.
Title
President
Phone
(503) 697-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8950 SW Nimbus Ave
Suite 150
Beaverton, OR 97008-7478

Mailing address

8950 SW Nimbus Ave
Suite 150
Beaverton, OR 97008-7478
Phone (503) 697-3255

Other identifiers 1

IdentifierTypeStateIssuer
022775MedicaidOR

Other names 1

  • OREGON BREAST CENTER Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1902979248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 SW NIMBUS AVE",
            "address_2": "SUITE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087478",
            "telephone_number": "503-697-3255",
            "fax_number": "503-697-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW NIMBUS AVE",
            "address_2": "SUITE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087478",
            "telephone_number": "503-697-3255",
            "fax_number": "503-697-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH RICHMOND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-697-3255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022775",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OREGON BREAST CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.