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PORTLAND RHEUMATOLOGY CLINIC LLC NPI 1801945084


NPI Information

NPI: 1801945084
Provider Name: PORTLAND RHEUMATOLOGY CLINIC LLC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 38D0624202

Address:
10230 SW CAPITOL HWY
PORTLAND, OR
ZIP 97219
Phone: (503) 244-3162
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PORTLAND RHEUMATOLOGY CLINIC LLC is a rheumatology internal medicine in Portland, OR. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. PORTLAND RHEUMATOLOGY CLINIC LLC NPI is 1801945084. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10230 SW CAPITOL HWY
PORTLAND, OR
ZIP 97219-809
Phone: (503) 244-3162
Fax: (503) 244-3166

The provider's authorized official is Andre Barkhuizen .
The authorized official title is Medical Director and has the following contact phone number (503) 244-3162.

The CLIA number assigned to this NPI record is 38D0624202 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/29/2013.


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
1207RR0500XInternal MedicineRheumatologyMD20458OREGONYes

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
1G02321MEDICARE UPIN
2R134141MEDICARE ID-TYPE UNSPECIFIED

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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