Organization Active NPI

Sierra Accident and Injury Rehabilitation P.C.

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1962768523
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SIERRA ACCIDENT AND INJURY REHABILITATION P.C.
Practice address
1001 SE Tualatin Valley Hwy Ste A29
Hillsboro, OR 97123-5022
Phone
(503) 648-2700
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Mrs. Angie Serna
Title
Bookkeeper
Phone
(503) 648-2700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3613 OR
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3959 OR
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1001 SE Tualatin Valley Hwy Ste A29
Hillsboro, OR 97123-5022

Mailing address

1001 SE Tualatin Valley Hwy Ste A29
Hillsboro, OR 97123-5022
Phone (503) 648-2700

Other names 1

  • Sierra Clinic and Rehabilitation Center P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1001 SE Tualatin Valley Hwy
Ste A29
Hillsboro, OR 97123
Phone (503) 648-2700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1962768523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY STE A29",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235022",
            "telephone_number": "503-648-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SE TUALATIN VALLEY HWY STE A29",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971235022",
            "telephone_number": "503-648-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ACCIDENT AND INJURY REHABILITATION P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "503-648-2700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3613",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3959",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Clinic and Rehabilitation Center P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.