Northwest Medical Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD21038 Issued in OR

Legal business name

NORTHWEST MEDICAL CLINIC PC

Practice address

4035 SW Mercantile Drive
Suite 103
Lake Oswego, OR 97035

Phone

(503) 675-7495

Fax

(503) 675-7496

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Toan Tvinh, MD

Title

Doctor

Phone

(503) 675-7495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Thomas Toan Trinh, MD

  • Family Medicine Physician
  • Tualatin, OR
  • NPI 1366526147
  Medicare reassignment NPD

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1982861902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 SW MERCANTILE DRIVE",
            "address_2": "SUITE 103",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-675-7495",
            "fax_number": "503-675-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 SW MERCANTILE DRIVE",
            "address_2": "SUITE 103",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-675-7495",
            "fax_number": "503-675-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "TVINH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "TOAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-675-7495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Norris
• North Lake Physical Therapy and Rehab LP
• North Lake Physical Therapy and Rehabilitation, Inc.
• Amarkaur Northrup, LAC.
• Northwest Endocrinology, LLC
• Northwest Mobility LLC
• Northwest Surgical Specialists PC
• Hadi Nouredine, D.M.D.
• Kellie Anne Nunn, MSW, LCSW
• Nutrition for Autoimmunity, LLC

• Family Medicine Physician in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.