OREGON CITY MEDICAL (NPI# 1457604654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457604654 |
| Entity Type | Organization |
| Organization Name | OREGON CITY MEDICAL |
| Other Organization Name | BEAVERTON FAMILY MEDICINE |
| Practice Address |
17200 Nw Corridor Ct Suite 110 Beaverton OR 97006-3295 |
| Practice Telephone | 5032133800 |
| Practice Fax Number | 5037475345 |
| Mailing Telephone | 5032133800 |
| Mailing Fax Number | 5037475345 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KEITH HAINES (MANAGER) |
| Authorized Official Telephone | 5032133800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Beaverton Family Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699943167 | Oregon City Medical | Family Medicine | 728 Molalla Ave Ste A&b, Oregon City, OR 97045-2799 | 2008-02-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON CITY MEDICAL PLAZA, LLC | 8645 Se Sunny Brook Blvd #300, Clackamas, OR 97015 |
| Street Address |
17200 NW CORRIDOR CT SUITE 110 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-3295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831110964 | Thomas D Gilberts Md LLC | Internal Medicine | 17200 Nw Corridor Ct, Suite 105, Beaverton, OR 97006-3295 | 2006-07-22 |
| 1376995969 | Anna Rose Herron | Massage Therapist | 17200 Nw Corridor Ct, Suite 105, Beaverton, OR 97006-3295 | 2016-07-07 |
| 1699018770 | Somsay Cheun | Specialist | 17200 Nw Corridor Ct, Suite 111, Beaverton, OR 97006-3295 | 2013-03-27 |
| 1144567967 | Andrew Murison | Non-Pharmacy Dispensing Site | 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 | 2013-01-14 |
| 1639421506 | Janelle Siler | Naturopath | 17200 Nw Corridor Ct, Ste 110, Beaverton, OR 97006-3295 | 2012-10-03 |
| 1427304864 | Martin G Degroot | Physician Assistant | 17200 Nw Corridor Ct, Suite 105, Beaverton, OR 97006-3295 | 2012-08-02 |
| 1336495175 | Somsay L Cheun | Massage Therapist | 17200 Nw Corridor Ct, Suite 100, Beaverton, OR 97006-3295 | 2012-07-30 |
| 1346504180 | Vansay Cheun | Acupuncturist | 17200 Nw Corridor Ct, Suite 100, Beaverton, OR 97006-3295 | 2012-06-26 |
| 1255607446 | Beaverton Family Medicine | Family Medicine | 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 | 2012-04-01 |
| 1154600567 | C and C Chiropractic | Chiropractor | 17200 Nw Corridor Ct, Suite 100, Beaverton, OR 97006-3295 | 2011-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906509 | Alpha Care Family Medicine | Clinic/Center | 14455 Sw Allen Blvd Ste 100, Beaverton, OR 97005-4428 | 2020-06-08 |
| 1043488166 | Miranda Mccormack, M.d., LLC | Clinic/Center | 5040 Sw Griffith Dr, #201, Beaverton, OR 97005-2985 | 2008-02-11 |
| 1528625639 | Pacific Primary Care and Integrative Health, Inc. | Clinic/Center | 17200 Nw Corridor Ct Ste 110, Beaverton, OR 97006-3295 | 2019-05-23 |
| 1790015485 | The Doctors Luce Pediatrics, LLC | Clinic/Center | 16280 Nw Bethany Ct, Beaverton, OR 97006-4885 | 2010-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158774 | G&h Healthcare Inc | Clinic/Center | 17022 Sw Pacific Hwy Apt 210, Tigard, OR 97224-3400 | 2020-09-11 |
| 1104447895 | Beyond Health LLC | Clinic/Center | 6440 Nw Mcmullen Ave, Portland, OR 97229-1158 | 2020-05-04 |
| 1851942536 | Careatc | Clinic/Center | 1101 W Main St Ste 103, Medford, OR 97501-2966 | 2019-09-24 |
| 1871153585 | Full Bloom Natural Medicine, LLC | Clinic/Center | 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 | 2019-06-14 |
| 1831757475 | Structural Solutions Chiropractic | Clinic/Center | 121 Nw Everett St, Portland, OR 97209-4049 | 2019-05-29 |
| 1770147357 | Uptown Providers PC | Clinic/Center | 397 Warner Milne Rd, Oregon City, OR 97045-4045 | 2019-04-29 |
| 1720549058 | Barbara Gilbertson, Do, Inc. | Clinic/Center | 1803b Main St, Klamath Falls, OR 97601-2636 | 2019-03-28 |
| 1033674841 | Jeremy Mikolai Nd Inc | Clinic/Center | 2540 Ne M L King Blvd, Portland, OR 97212-3732 | 2019-02-06 |
| 1326531666 | Working Class Medicine LLC | Clinic/Center | 2133 N. Willis Blvd, Studio D, Portland, OR 97217 | 2018-06-12 |
| 1255820239 | Fitzgerald Family Medicine | Clinic/Center | 289 E Ellendale Ave Ste 602, Dallas, OR 97338-1570 | 2018-05-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.