Providence Health & Services - Oregon
Family Medicine · Portland, OR
At a glance
1321 Ne 99Th Ave, Portland, OR 97220-9437
NPPES record updated Jul 4, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1321 Ne 99Th Ave Suite 100Portland, OR 97220-9437
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Family Medicine
- Taxonomy code
- 207Q00000X
- Enumeration date
- Sep 16, 2006
- Record updated
- Jul 4, 2025
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Family Medicine
207Q00000X · Primary
Clinic / Center
261Q00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1321 Ne 99Th AveSuite 100
Portland, OR 97220-9437
- Phone
- (503) 215-4050
- Fax
- (503) 215-4055
Mailing address
PO BOX 31001 - 4180PASADENA, CA 911104180
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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