PRIDEPOINT HEALTH NPI 1417795626

NPI Information

  • NPI: 1417795626
  • Provider Name: PRIDEPOINT HEALTH
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 38D2312520
  • Address: 1827 NE 44TH AVE STE 220
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 616-2877

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NPI Details

PRIDEPOINT HEALTH is a primary care clinic center in Portland, OR. PRIDEPOINT HEALTH NPI is 1417795626. The provider is registered as an organization entity type.

The provider's business location address is:

1827 NE 44TH AVE STE 220
PORTLAND, OR
ZIP 97213-443
Phone: (503) 616-2877

The provider's authorized official is Ryan Coe .
The authorized official title is Co-owner / Physician and has the following contact phone number (503) 616-2877.

The CLIA number assigned to this NPI record is 38D2312520 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2024 and was last updated on 12/3/2024.

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
1261QP2300XClinic/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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