Organization · Type 2 NPI

Premise Health of Oregon Medical PC

Multi-Specialty Clinic/Center · Fairview, OR

NPI number 1457026056 Active

Practice location

4000 NE Blue Lake Rd
Fairview, OR 97024-8710

Call (503) 721-6040 Map

Fax (256) 883-3674

Mailing address

5500 Maryland Way
Brentwood, TN 37027-7048

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

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

NPI record

NPI: 1457026056
Entity type: Organization (Type 2)
Issued: Aug 16, 2021
Last updated: Feb 4, 2026
Status: Active

Other names

<unavail>
Hyster Yale - Portland · doing business as
Hyster Yale - Portland · doing business as

Authorized official

Edward William Schwartz
President
(844) 407-7557

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457026056

Premise Health of Oregon Medical PC's National Provider Identifier is 1457026056, issued on Aug 16, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fairview, OR. The record was last updated on Feb 4, 2026.