TUALITY MEDICAL GROUP LLC
Complete NPI Record 1073929782
Internal Medicine in Hillsboro, OR
Active since July 02, 2014
Complete NPI Dataset
This page contains the complete raw NPPES record for Tuality Medical Group Llc (NPI 1073929782), an internal medicine organization in Hillsboro, OR. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1073929782 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/32
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: TUALITY MEDICAL GROUP LLC Field 4/32
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 1400 SW 5TH AVE STE 500 Field 5/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: PORTLAND Field 6/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OR Field 7/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 972015537 Field 8/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 335 SE 8TH AVE Field 10/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: HILLSBORO Field 11/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: OR Field 12/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 971234246 Field 13/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 14/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5036811177 Field 15/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 5036811923 Field 16/32
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: JAMES-NIELSEN Field 19/32
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LORI Field 20/32
- The first name of the authorized official.
- Authorized Official Title or Position: PRESIDENT & CEO Field 21/32
- The title or position of the authorized official.
- Authorized Official Telephone Number: 5036811177 Field 22/32
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QH0100X Field 23/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number State Code 1: OR Field 24/32
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 25/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 207R00000X Field 26/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 27/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 28/32
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: TUALITY HEALTHCARE Field 29/32
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 30/32
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
- Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP Field 31/32
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 11
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
364 SE 8th Ave Ste 301A
Location 1/11Hillsboro, OR 97123-5273 · Phone (503) 681-4363
7529 SE Tualatin Valley Hwy
Location 2/11Hillsboro, OR 97123-8252 · Phone (503) 681-4240
364 SE 8th Ave Ste 205
Location 3/11Hillsboro, OR 97123-4249 · Phone (503) 681-4145
333 SE 7th Ave Ste 4350
Location 4/11Hillsboro, OR 97123-4172 · Phone (503) 844-8220
6355 NE Cornell Rd Ste 100
Location 5/11Hillsboro, OR 97124-5434 · Phone (503) 346-3900
364 SE 8th Ave Ste 301
Location 6/11Hillsboro, OR 97123-4250 · Phone (503) 681-4233
364 SE 8th Ave Ste 101
Location 7/11Hillsboro, OR 97123-4243 · Phone (503) 681-0816
333 SE 7th Ave Ste 4500
Location 8/11Hillsboro, OR 97123-4177 · Phone (503) 648-6611
333 SE 7th Ave Ste 2500
Location 9/11Hillsboro, OR 97123-4157 · Phone (503) 844-8280
333 SE 7th Ave Ste 5200
Location 10/11Hillsboro, OR 97123-4182 · Phone (503) 681-4310
1825 Maple St
Location 11/11Forest Grove, OR 97116-1939 · Phone (503) 357-2136
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