Organization Active NPI

Gregory L. Combs, M.D., P.C.

  • Plastic Surgery Physician
  • West Linn, OR
National Provider Identifier
1992109557
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD15245 Issued in OR
Legal business name
GREGORY L. COMBS, M.D., P.C.
Practice address
1914 Willamette Falls Dr
Suite 210
West Linn, OR 97068-4688
Phone
(503) 655-9727
Fax
(503) 655-9865
NPI assigned
Oct 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Mrs. Kim Joanne Zutavern Combs
Title
Office Manager
Phone
(503) 655-9727

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208200000X MD15245 OR Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2082S0105X MD15245 OR

Addresses

Primary practice location

1914 Willamette Falls Dr
Suite 210
West Linn, OR 97068-4688

Mailing address

1914 Willamette Falls Dr
Suite 210
West Linn, OR 97068-4688
Phone (503) 655-9727

Other identifiers 1

IdentifierTypeStateIssuer
RBFKNCOtherMEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1992109557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 WILLAMETTE FALLS DR",
            "address_2": "SUITE 210",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684688",
            "telephone_number": "503-655-9727",
            "fax_number": "503-655-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 WILLAMETTE FALLS DR",
            "address_2": "SUITE 210",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684688",
            "telephone_number": "503-655-9727",
            "fax_number": "503-655-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. COMBS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "ZUTAVERN COMBS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-655-9727",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD15245",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OR",
            "license": "MD15245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "RBFKNC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.