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LAUREL L SIMON MD
NPI 1417024902
Internal Medicine in Portland, OR

Active since November 29, 2006
4212 NE BROADWAY ST, PORTLAND, OR 97213(503) 249-8787 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel L Simon Md NPPES

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

LAUREL L SIMON MD (NPI 1417024902) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD 17875) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1417024902
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLAUREL L SIMONCredential: MD
Location Address4212 NE BROADWAY STPortland, OR 97213-1460
Mailing Address4212 Ne Broadway StPortland, OR 97213-1460 · (503) 249-8787
Phone(503) 249-8787
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateOctober 28, 2010
✔ NPI 1417024902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD 17875
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4212 NE BROADWAY ST, Portland, OR 97213
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Other Identifiers 3

Medicare ID-Type Unspecified011WCBBWPOR
Medicare UPINF80334OR
Medicaid06361-0OR

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUIS A VALLS MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
MARY BAKER MD
Pediatrics
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
SUSAN FRANCES CALVERT R.PH.
Pharmacist
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 282-1323
MR. JAMES C JOHNSON MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
KRISTAN C COLLINS MD
Pediatrics
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
DR. PATRICIA SANDSTROM BURKE M.D.
Pediatrics
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
MRS. ANNE M HIRSCH MD
Internal Medicine
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787
CLYTIE S RIMBERG MD
Dermatology
4212 NE BROADWAY ST
PORTLAND, OR 97213
Multnomah County (503) 249-8787

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 Laurel Simon's NPI number?

The NPI number for Laurel Simon is 1417024902. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Laurel Simon located?

Laurel Simon practices at 4212 NE Broadway St, Portland, OR 97213. The listed phone number is (503) 249-8787.

What is Laurel Simon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Laurel Simon was last updated on October 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.