NORTHWEST PRIMARY CARE GROUP PC NPI 1144319658

NPI Information

NORTHWEST PRIMARY CARE GROUP PC is a family medicine in Portland, OR. The provider is 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. NORTHWEST PRIMARY CARE GROUP PC NPI is 1144319658. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6327 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202-418
Phone: (503) 659-4988
Fax: (503) 353-1293

The provider's authorized official is Michael Whitbeck .
The authorized official title is Administrator and has the following contact phone number (503) 659-4777.

The CLIA number assigned to this NPI record is 38D2002858 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 6/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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