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PORTLAND CLINIC NPI 1558379099


NPI Information

NPI: 1558379099
Provider Name: PORTLAND CLINIC

Other Name: THE PORTLAND CLINIC LLP

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Get Directions

PORTLAND CLINIC is an internal medicine in Portland, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PORTLAND CLINIC NPI is 1558379099. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is The Portland Clinic Llp.

The provider's business location address is:

800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 221-4451

The provider's authorized official is Dick Clark .
The authorized official title is Ceo and has the following contact phone number (503) 221-0161.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 10/26/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthNo
2133V00000XDietitian, RegisteredNo
3207N00000XDermatologyNo
4207Q00000XFamily MedicineNo
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RG0100XInternal MedicineGastroenterologyNo
7207VG0400XObstetrics & GynecologyGynecologyNo
8207W00000XOphthalmologyNo
9207X00000XOrthopaedic SurgeryNo
10208000000XPediatricsNo
11208600000XSurgeryNo
122086S0129XSurgeryVascular SurgeryNo
13208800000XUrologyNo
14213E00000XPodiatristNo
15207R00000XInternal MedicineYes

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

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