Organization · Type 2 NPI

Premise Health of Oregon Medical PC

Multi-Specialty Clinic/Center · Portland, OR

NPI number 1992470504 Active

Practice location

12106 NE Ainsworth Cir Ste 5
Portland, OR 97220-9001

Call (541) 225-5551 Map

Fax (301) 244-0995

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...

Another provider at this address

Carehere LLCAdult Medicine Physician Portland, OR NPI 1700421435

Other multi-specialty clinic/center providers in Portland

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NPI record

NPI: 1992470504
Entity type: Organization (Type 2)
Issued: Aug 16, 2021
Last updated: Feb 4, 2026
Status: Active

Other names

<unavail>
Leatherman - Portland · doing business as
Leatherman - 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 1992470504

Premise Health of Oregon Medical PC's National Provider Identifier is 1992470504, issued on Aug 16, 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 4, 2026.