Organization · Type 2 NPI

Premise Health of Oregon Medical P C

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1164197083 Active

Practice location

4709 N Lagoon Ave
Portland, OR 97217-7741

Call (503) 745-7138 Map

Fax (503) 745-6243

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1164197083

Premise Health of Oregon Medical P C's National Provider Identifier is 1164197083, issued on Aug 12, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Portland, OR. The record was last updated on Feb 2, 2026.