Philip J. Korten O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OR1236ATI Issued in OR

Legal business name

PHILIP J. KORTEN O.D.

Practice address

2535 SE Harrison St
Milwaukie, OR 97222-7530

Phone

(503) 654-0456

Fax

(503) 653-7192

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip Joseph Korten, OD

Title

Owner

Phone

(503) 654-0456

Specialties & licenses 1

Addresses

Other names 1

• Korten Vision Clinic Doing business as

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962611699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 SE HARRISON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227530",
            "telephone_number": "503-654-0456",
            "fax_number": "503-653-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 SE HARRISON ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972227530",
            "telephone_number": "503-654-0456",
            "fax_number": "503-653-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. KORTEN O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORTEN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-654-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR1236ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korten Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Joyce Peterson, PTA
• Lindsey Petrie, LPC
• Nikobi Petronelli
• Amy Leann Pfunder, MSW, LICSW, LCSW
• Rebecca Pham, PHARMD, RPH
• Cybele Whitney Phillips, LAC
• Marcy Jean Phillips, OTR/L
• Marissa Kayann Phillips
• Physiotherapy Associates, Inc.
• Cathy Renae Pickett

• Optometrist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.