Organization · Type 2 NPI

Providence Health & Services - Oregon

Family Medicine Physician · Portland, OR

NPI number 1164522496 Active

Practice location

4920 N Interstate Ave
Portland, OR 97217-3653

Call (503) 215-3300 Map

Fax (503) 215-3350

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.

20 other providers at this address

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About NPI 1164522496

Providence Health & Services - Oregon's National Provider Identifier is 1164522496, issued on Sep 25, 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.