Individual provider · Type 1 NPI

Henry R. Rivas, MD

Family Medicine Physician · Portland, OR

NPI number 1194780353 Active

Practice location

11510 SE Stark St
Portland, OR 97216-3356

Call (503) 256-0636 Map

Fax (503) 408-7034

Mailing address

PO Box 92900
Portland, OR 97292-0900

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	MD14654 (OR)

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.

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About NPI 1194780353

Henry R. Rivas, MD's National Provider Identifier is 1194780353, issued on Apr 19, 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 Jul 13, 2026.