PENDLETON FAMILY MEDICINE LLC NPI 1285765883

NPI Information

  • NPI: 1285765883
  • Provider Name: PENDLETON FAMILY MEDICINE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 38D0895265
  • Address: 1600 SE COURT PL
    STE 201
    PENDLETON, OR
    ZIP 97801
  • Phone: (541) 276-1700

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NPI Details

PENDLETON FAMILY MEDICINE LLC is a family medicine in Pendleton, 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. PENDLETON FAMILY MEDICINE LLC NPI is 1285765883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 SE COURT PL
STE 201
PENDLETON, OR
ZIP 97801-281
Phone: (541) 276-1700

The provider's authorized official is Bethel E Hart .
The authorized official title is Office Manager and has the following contact phone number (541) 276-1700.

The CLIA number assigned to this NPI record is 38D0895265 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/23/2010.

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
1207Q00000XFamily MedicineOREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R106813MEDICARE ID-TYPE UNSPECIFIEDOREGONMEDICARE

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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