PORTLAND CLINIC NPI 1558379099

NPI Information

  • NPI: 1558379099
  • Provider Name: PORTLAND CLINIC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Other Name: THE PORTLAND CLINIC LLP
  • CLIA Number: 38D0623515
  • Address: 800 SW 13TH AVE
    PORTLAND, OR
    ZIP 97205
  • Phone: (503) 221-0161

Map and Directions

Get Directions

NPI Details

PORTLAND CLINIC is an internal medicine in Portland, OR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PORTLAND CLINIC NPI is 1558379099. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is The Portland Clinic Llp.

The provider's business location address is:

800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 221-4451

The provider's authorized official is Amy L Mulcaster .
The authorized official title is Cmo and has the following contact phone number (503) 221-0161.

The CLIA number assigned to this NPI record is 38D0623515 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 4/30/2024.

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
1133V00000XDietitian, RegisteredNo
2207N00000XDermatologyNo
3207Q00000XFamily MedicineNo
4207R00000XInternal MedicineYes
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RG0100XInternal MedicineGastroenterologyNo
7207VG0400XObstetrics & GynecologyGynecologyNo
8207W00000XOphthalmologyNo
9207X00000XOrthopaedic SurgeryNo
10208000000XPediatricsNo
11208600000XSurgeryNo
122086S0129XSurgeryVascular SurgeryNo
13208800000XUrologyNo
14213E00000XPodiatristNo
15363LA2200XNurse PractitionerAdult HealthNo

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

NPI Synchronization or Removal

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.