National Provider Identifier Database

NORTHWEST PRIMARY CARE GROUP PC
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.


Contact Information

NORTHWEST PRIMARY CARE GROUP, PC
12300 SE MALLARD WAY
SUITE 160
MILWAUKIE, OR97222-4616
Phone: 503-659-4777
Fax: 503-652-5223
Website:
Specialty Taxonomy Code
* Family Medicine 207Q00000X
Dietitian, Registered 133V00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Family 363LF0000X
Internal Medicine 207R00000X
Occupational Therapist 225X00000X
Physical Therapist 225100000X
Physician Assistant 363A00000X
Sleep Disorder Diagnostic 261QS1200X

* Indicates primary specialty

NPI Profile & details for NORTHWEST PRIMARY CARE GROUP, PC

NPI Number 1558572180
Legal business name
LBN
NORTHWEST PRIMARY CARE GROUP, PC
Authorized official MICHAEL WHITBECK - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 05/25/2007
Last updated 06/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 022990
  • OR Medicaid: 049072
  • OR Medicaid: 226666
  • OR Medicaid: 226667
  • OR Medicaid: 230426
  • OR Medicaid: 274689
  • OR Medicaid: 500620283
  • OR Medicaid: 500620284
  • OR Other: 38D0624596 CLIA
  • OR Other: 38D0624619 CLIA
  • OR Other: 38D0888269 CLIA
  • OR Other: 38D1059196 CLIA
  • OR Other: CE8055 RAILROAD GROUP PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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