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ORTHOPEDIC & FRACTURE CLINIC PC NPI 1871050153


NPI Information

NPI: 1871050153
Provider Name: ORTHOPEDIC & FRACTURE CLINIC PC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 38D2016165

Address:
11782 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225
Phone: (503) 214-5200
Get Directions

ORTHOPEDIC & FRACTURE CLINIC PC is an orthopaedic surgery in Portland, OR. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. ORTHOPEDIC & FRACTURE CLINIC PC NPI is 1871050153. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11782 SW BARNES RD STE 300
PORTLAND, OR
ZIP 97225-933
Phone: (503) 214-5200
Fax: (503) 906-6613

The provider's authorized official is J Brad V Butler .
The authorized official title is President and has the following contact phone number (503) 214-5200.

The CLIA number assigned to this NPI record is 38D2016165 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/22/2019.


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
1207X00000XOrthopaedic SurgeryYes

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
1146456MEDICAIDOREGON

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

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