PHYSICIAN ON DUTY
NPI 1275787780
General Practice in Beaverton, OR

Q: What is Physician On Duty's NPI number?

The NPI number for Physician On Duty is 1275787780. It was assigned to this organization in the NPPES registry on November 11, 2008.

Q: What is Physician On Duty's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Physician On Duty was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 11, 2008

14805 SW BLANTON ST., BEAVERTON, OR 97007(503) 957-9632 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Physician On Duty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIAN ON DUTY (NPI 1275787780) is a healthcare organization registered as a general practice in Beaverton, Oregon and active in the NPI registry since November 2008. The organization lists Sandra L Jolly, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1275787780

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NamePHYSICIAN ON DUTY

Location Address14805 SW BLANTON ST.Beaverton, OR 97007

Mailing Address14805 Sw Blanton St.Beaverton, OR 97007 · (503) 957-9632

Phone(503) 957-9632

Organization SubpartNo

Authorized OfficialSandra L JollyBilling Manager · (503) 726-4685

Enumeration DateNovember 11, 2008

✔ NPI 1275787780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

14805 SW BLANTON ST., Beaverton, OR 97007

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician On Duty's NPI number?

The NPI number for Physician On Duty is 1275787780. It was assigned to this organization in the NPPES registry on November 11, 2008.

Where is Physician On Duty located?

Physician On Duty is located at 14805 SW Blanton St., Beaverton, OR 97007. The listed phone number is (503) 957-9632.

What is Physician On Duty's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Physician On Duty was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.