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SELLWOOD MEDICAL CLINIC PC NPI 1083686554


NPI Information

NPI: 1083686554
Provider Name: SELLWOOD MEDICAL CLINIC PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D2281277

Address:
8332 SE 13TH AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 595-9300
Get Directions

SELLWOOD MEDICAL CLINIC 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. SELLWOOD MEDICAL CLINIC PC NPI is 1083686554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8332 SE 13TH AVE
PORTLAND, OR
ZIP 97202-102
Phone: (503) 595-9300
Fax: (503) 233-1892

The provider's authorized official is Morgan Munoz .
The authorized official title is Business Office Supervisor and has the following contact phone number (503) 595-9300.

The CLIA number assigned to this NPI record is 38D2281277 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 9/20/2022.


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
1207RC0000XInternal MedicineCardiovascular DiseaseMD06704OREGONNo
2363A00000XPhysician AssistantP83603OREGONNo
3207Q00000XFamily MedicineMD11101OREGONYes

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.