Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Portland, OR

NPI number 1124129903 Active

Practice location

1321 NE 99th Ave, Suite 200
Portland, OR 97220-9439

Call (503) 215-4250 Map

Fax (503) 215-4255

Mailing address

PO Box 31001 - 4180
Pasadena, CA 91110-4180

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Clinic/Center 261Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

55 other providers at this address

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About NPI 1124129903

Providence Health & Services - Oregon's National Provider Identifier is 1124129903, issued on Sep 26, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.