PPC GROUP LLC NPI 1508190661

NPI Information

  • NPI: 1508190661
  • Provider Name: PPC GROUP LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: PREVENTION PLUS CLINIC
  • CLIA Number: 38D1103294
  • Address: 1800 CENTENNIAL BLVD
    SUITE #6
    SPRINGFIELD, OR
    ZIP 97477
  • Phone: (541) 726-2179

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NPI Details

PPC GROUP LLC is a primary care clinic center in Springfield, OR. PPC GROUP LLC NPI is 1508190661. The provider is registered as an organization entity type.
The provider Is Doing Business As Prevention Plus Clinic.

The provider's business location address is:

1800 CENTENNIAL BLVD
SUITE #6
SPRINGFIELD, OR
ZIP 97477-385
Phone: (541) 726-2179

The provider's authorized official is Alison Erde .
The authorized official title is Sole Member and has the following contact phone number (541) 726-1865.

The CLIA number assigned to this NPI record is 38D1103294 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/22/2009 and was last updated on 10/26/2009.

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 CareMD23479OREGONYes

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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