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OAK GROVE FAMILY MEDICAL CLINIC P C NPI 1346218369


NPI Information

NPI: 1346218369
Provider Name: OAK GROVE FAMILY MEDICAL CLINIC P C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D0625372

Address:
2250 SE OAK GROVE BLVD #B
MILWAUKIE, OR
ZIP 97267
Phone: (503) 654-6567
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OAK GROVE FAMILY MEDICAL CLINIC P C is a family medicine in Milwaukie, 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. OAK GROVE FAMILY MEDICAL CLINIC P C NPI is 1346218369. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2250 SE OAK GROVE BLVD #B
MILWAUKIE, OR
ZIP 97267-670
Phone: (503) 654-6567
Fax: (503) 653-2582

The provider's authorized official is Diana L Mikkelsen .
The authorized official title is Office Manager and has the following contact phone number (503) 653-1860.

The CLIA number assigned to this NPI record is 38D0625372 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2006 and was last updated on 6/1/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CF9670OTHEROREGONRAILROAD MEDICARE
2A001OTHEROREGONCHAMPUS
3R103720MEDICARE PINOREGON
4067039000OTHEROREGONBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.