Provider Type Icon

PORTLAND JOINT RECONSTRUCTION CLINIC P.C. NPI 1619205440


NPI Information

NPI: 1619205440
Provider Name: PORTLAND JOINT RECONSTRUCTION CLINIC, P.C.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
5050 NE HOYT ST
SUITE 668
PORTLAND, OR
ZIP 97213
Phone: (503) 239-7099
Get Directions

PORTLAND JOINT RECONSTRUCTION CLINIC, P.C. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Portland, OR. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. PORTLAND JOINT RECONSTRUCTION CLINIC, P.C. NPI is 1619205440. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5050 NE HOYT ST
SUITE 668
PORTLAND, OR
ZIP 97213-991
Phone: (503) 239-7099
Fax: (503) 239-9459

The provider's authorized official is David C Hikes .
The authorized official title is Owner and has the following contact phone number (503) 239-7099.

The enumeration date for this NPI number is 12/7/2009 and was last updated on 12/7/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryMD11185OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E04186MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.