DDCHEALTH LLC NPI 1154985752

NPI Information

  • NPI: 1154985752
  • Provider Name: DDCHEALTH, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 1411 NW QUIMBY ST
    APT 515
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 496-7704

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NPI Details

DDCHEALTH, LLC is a primary care clinic center in Portland, OR. DDCHEALTH, LLC NPI is 1154985752. The provider is registered as an organization entity type.

The provider's business location address is:

1411 NW QUIMBY ST
APT 515
PORTLAND, OR
ZIP 97209
Phone: (503) 496-7704
Fax: (971) 375-4420

The provider's authorized official is Dustin Carlson .
The authorized official title is Provider General Manager and has the following contact phone number (503) 944-9727.

The enumeration date for this NPI number is 4/29/2019 and was last updated on 10/12/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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