PORTLAND FAMILY PRACTICE INC. NPI 1508857657

NPI Information

PORTLAND FAMILY PRACTICE INC. 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. PORTLAND FAMILY PRACTICE INC. NPI is 1508857657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

541 NE 20TH AVE
SUITE 210
PORTLAND, OR
ZIP 97232-862
Phone: (503) 233-6940
Fax: (503) 236-2676

The provider's authorized official is Eugene Uphoff .
The authorized official title is Physician and has the following contact phone number (503) 233-6940.

The CLIA number assigned to this NPI record is 38D2294313 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2005 and was last updated on 1/27/2011.

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:

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