Provider Type Icon

MID VALLEY FAMILY PHYSICIANS NPI 1225217995


NPI Information

NPI: 1225217995
Provider Name: MID VALLEY FAMILY PHYSICIANS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
550 DIETZ AVE NE
KEIZER, OR
ZIP 97303
Phone: (503) 393-0540
Get Directions

MID VALLEY FAMILY PHYSICIANS is a family medicine in Keizer, 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. MID VALLEY FAMILY PHYSICIANS NPI is 1225217995. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

550 DIETZ AVE NE
KEIZER, OR
ZIP 97303-615
Phone: (503) 393-0540
Fax: (503) 393-3695

The provider's authorized official is Ronald M Palm .
The authorized official title is Physician Owner and has the following contact phone number (503) 393-0540.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 11/1/2007.


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
1207Q00000XFamily MedicineD025292OREGONNo
2207Q00000XFamily MedicineD025302OREGONYes

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
1R133413MEDICARE PINOREGON
2G99921MEDICARE UPINOREGON
3232446MEDICAIDOREGON

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.