Provider Demographics
NPI:1174746218
Name:ORTHOPAEDIC CONSULTANTS, PC
Entity type:Organization
Organization Name:ORTHOPAEDIC CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIPEKOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-228-4035
Mailing Address - Street 1:2525 NW LOVEJOY ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2859
Mailing Address - Country:US
Mailing Address - Phone:503-228-4035
Mailing Address - Fax:503-228-6933
Practice Address - Street 1:2525 NW LOVEJOY ST
Practice Address - Street 2:SUITE 400
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2859
Practice Address - Country:US
Practice Address - Phone:503-228-4035
Practice Address - Fax:503-228-6933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR02216266174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty