Active NPI
Medical Teams International
- Dentist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- MEDICAL TEAMS INTERNATIONAL
- Practice address
- 14150 SW Milton CT
Portland, OR 97224-8024 - Phone
- (503) 593-9599
- NPI assigned
- Sep 1, 2020
- 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. Cassondra Phillipsen, DMD
- Title
- Dental Director
- Phone
- (503) 593-9599
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
14150 SW Milton CT
Portland, OR 97224-8024
Mailing address
14150 SW Milton CT
Portland, OR 97224-8024
Phone (503) 593-9599
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2200576 | Medical Teams International | Certificate of waiver | Nov 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
14150 SW Milton Ct
Tigard, OR 97224
Phone (503) 593-9599
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHGICD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Banks, OR
- NPI 1588071666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598918400000",
"number": "1972117588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14150 SW MILTON CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972248024",
"telephone_number": "503-593-9599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14150 SW MILTON CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972248024",
"telephone_number": "503-593-9599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL TEAMS INTERNATIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A",
"authorized_official_last_name": "PHILLIPSEN",
"authorized_official_first_name": "CASSONDRA",
"authorized_official_title_or_position": "DENTAL DIRECTOR",
"authorized_official_telephone_number": "503-593-9599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"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 Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.