Organization Active NPI

Pam Rathbone Whcnp PC

  • Medical Specialty Clinic/Center
  • Gladstone, OR
National Provider Identifier
1932392172
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
092006979N7 Issued in OR
Legal business name
PAM RATHBONE WHCNP PC
Practice address
15 82ND Dr Ste 100
Gladstone, OR 97027-2550
Phone
(503) 905-2526
Fax
(503) 974-3256
NPI assigned
Aug 21, 2007
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Pamela J. Rathbone, WHCNP
Title
Owner/NP
Phone
(503) 905-2526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 092006979N7 OR Primary

Addresses

Primary practice location

15 82ND Dr Ste 100
Gladstone, OR 97027-2550

Mailing address

15 82ND Dr Ste 100
Gladstone, OR 97027-2550
Phone (503) 905-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000808 OR Part B Supplier - Clinic/Group Practice 4183665656 Receives reassigned benefits from 1 practitioner
Practice locations: Gladstone, OR

National Provider Directory

National Provider Directory

Locations

6975 SE Lake Rd
Milwaukie, OR 97267
Phone (503) 905-2526

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1932392172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-905-2526",
            "fax_number": "503-974-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 82ND DR STE 100",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272550",
            "telephone_number": "503-905-2526",
            "fax_number": "503-974-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM RATHBONE WHCNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "RATHBONE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "503-905-2526",
        "authorized_official_credential": "WHCNP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "092006979N7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.