OrganizationActive
Physician on Duty
NPI 1275787780 · General Practice Physician · Beaverton, OR
Physician on Duty is a General Practice Physician organization in Beaverton, OR (NPI 1275787780).
Provider details
- NPI number
- 1275787780
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandra Jolly, Billing Manager(503) 726-4685
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14805 Sw Blanton St.
Beaverton, OR 97007
Phone: (503) 957-9632
Approximate (ZIP-level) locationGet directions
Mailing address
14805 Sw Blanton St.
Beaverton, OR 97007
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2008-11-11
Frequently asked questions
- What is Physician on Duty's NPI number?
- Physician on Duty's National Provider Identifier (NPI) is 1275787780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician on Duty?
- Physician on Duty is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Physician on Duty located?
- Physician on Duty's practice location on file with NPPES is 14805 Sw Blanton St., Beaverton, OR 97007.
- What is Physician on Duty's phone number?
- The practice phone number listed in the NPPES registry for Physician on Duty is (503) 957-9632.
- Who is the authorized official for Physician on Duty?
- The authorized official listed on Physician on Duty's NPPES record is Sandra Jolly, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician on Duty's NPI active?
- Yes — Physician on Duty's NPI (1275787780) is active in the NPPES registry as of the last update on 2008-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.