{
"Npi": {
"NPI": "1205272267",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "Z CLINIC LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "16250 BRYANT RD",
"SecondLineMailingAddress": "SUITE 101",
"MailingAddressCityName": "LAKE OSWEGO",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97035-4300",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-342-6410",
"MailingAddressFaxNumber": "503-210-0222",
"FirstLinePracticeLocationAddress": "16250 BRYANT RD",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "LAKE OSWEGO",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97035-4300",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-342-6410",
"PracticeLocationAddressFaxNumber": "503-210-0222",
"EnumerationDate": "05/17/2013",
"LastUpdateDate": "05/17/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KHAN",
"AuthorizedOfficialFirstName": "MUHAMMAD",
"AuthorizedOfficialMiddleName": "ZAFAR",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D",
"AuthorizedOfficialTelephoneNumber": "503-342-6410",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "2008085",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}