Active NPI
James Robert Warner, PA
- Physician Assistant
- Portland, OR
National Provider Identifier
1992806145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00541
- Practice address
- 7705 SE Division St
Portland, OR 97206-1059 - Phone
- (503) 777-3311
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00541 | OR | Primary |
Addresses
Primary practice location
7705 SE Division St
Portland, OR 97206-1059
Mailing address
2096 NW 17TH St
Gresham, OR 97030-4854
Phone (503) 577-9070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1992806145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2096 NW 17TH ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970304854",
"telephone_number": "503-577-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7705 SE DIVISION ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972061059",
"telephone_number": "503-777-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00541",
"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 Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.