Northwest Primary Care Group Pc
LBN: Northwest Primary Care Group Pc
Northwest Primary Care Group Pc is an health care organization with primary practice located at 6327 Se Milwaukie Ave , Portland OR 97202-5418. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Northwest Primary Care Group Pc can be contacted via phone (503) 659-4988, or through Whitbeck, Michael via phone (503) 659-4777.
Contact Information
Primary practice address
6327 Se Milwaukie Ave
Portland OR 97202-5418
Phone: (503) 659-4988
Fax: (503) 353-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1144319658 |
|---|---|
| LBN Legal business name | Northwest Primary Care Group Pc |
| DBA Doing business as | |
| Authorized official | Whitbeck, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jun 3rd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144319658 | NPPES |
| Oregon | Other | 38D1059196 | CLIA |
| Oregon | MEDICAID | 274689 | CLIA |
| Oregon | Other | CE8055 | CLIA |
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