PHYSICIAN ON DUTY – General Practice Physician, NPI 1275787780

PHYSICIAN ON DUTY is a healthcare provider. based in Beaverton, Oregon. specializing in General Practice Physician. The NPI Number for PHYSICIAN ON DUTY is 1275787780

Main info

Organization
Name
PHYSICIAN ON DUTY
NPI
1275787780
Phone
(503) 957-9632
Address
14805 SW BLANTON ST.
Authorized Official
SANDRA L JOLLY BILLING MANAGER
Enumeration Date
11 November 2008
Last Update Date
11 November 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

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Provider Addresses for PHYSICIAN ON DUTY

  • Southwest Blanton Street, West Beaverton, Metro, Washington County, Oregon, 97077, United States

    BEAVERTON, OR 97007

    Phone: (503) 957-9632

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97007)

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Reviews

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Frequently asked questions

Is PHYSICIAN ON DUTY listed with a National Provider Identifier?
Yes — PHYSICIAN ON DUTY has NPI 1275787780 on file in the registry.
Is PHYSICIAN ON DUTY shown as active in public data?
Registry records indicate PHYSICIAN ON DUTY maintains an active NPI.
What area of care is associated with PHYSICIAN ON DUTY?
PHYSICIAN ON DUTY's record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
Is PHYSICIAN ON DUTY located near Beaverton?
PHYSICIAN ON DUTY currently maps to Beaverton, Oregon in this extract.
Can I trust this NPI listing for PHYSICIAN ON DUTY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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