Active NPI
Joanna M Zamora, M.D.
- Pediatrics Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD173312
- Practice address
- 6924 NE Sandy Blvd
Portland, OR 97213-5256 - Phone
- (503) 300-4111
- Fax
- (503) 954-2122
- NPI assigned
- Apr 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 51891 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD173312 | OR | Primary |
Addresses
Primary practice location
6924 NE Sandy Blvd
Portland, OR 97213-5256
Mailing address
6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone (503) 300-4111
Other practice location 1
2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005-1342
Phone (503) 300-4111
Other practice location 2
7215 SE Milwaukie Avenue
Portland, OR 97202-6103
Phone (503) 300-4111
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD173312 | OR | MD | Pediatrics Physician |
| 51891 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Crest Childrens Urgent Care LLC | Pediatrics | Current | Accepting new patients |
Locations
2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 300-4111
6924 NE Sandy Blvd
Portland, OR 97213
Phone (503) 300-4111
7215 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 300-4111
Interoperability endpoints
- jzamora785708@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Portland, OR
- NPI 1164947701
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1942590328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6924 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135256",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6924 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135256",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122"
}
],
"practiceLocations": [
{
"address_1": "2935 SW Cedar Hills Blvd",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970051342",
"country_code": "US",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7215 SE Milwaukie Avenue",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972026103",
"country_code": "US",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAMORA",
"first_name": "JOANNA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "51891",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD173312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.