Active NPI
Cornell Family Medicine
- Primary Care Clinic/Center
- Portland, OR
National Provider Identifier
1952543944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CORNELL FAMILY MEDICINE
- Practice address
- 12400 NW Cornell Rd Ste 200
Portland, OR 97229-5689 - Phone
- (503) 352-0211
- NPI assigned
- Apr 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert P. Barlow
- Title
- President
- Phone
- (503) 352-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
12400 NW Cornell Rd Ste 200
Portland, OR 97229-5689
Mailing address
12400 NW Cornell Rd Ste 200
Portland, OR 97229-5689
Phone (503) 352-0211
National Provider Directory
National Provider DirectoryLocations
12400 NW Cornell Rd
Ste 200
Portland, OR 97229
Phone (503) 646-0101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1952543944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 NW CORNELL RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295689",
"telephone_number": "503-352-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 NW CORNELL RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972295689",
"telephone_number": "503-352-0211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNELL FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-06",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "BARLOW",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-352-0211",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"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 May 7, 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.