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Contact Information

PORTLAND CLINIC
800 SW 13TH AVE
PORTLAND, OR97205
 Phone: 503-221-0161
 Fax: 503-221-4451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Podiatrist

213E00000X 48 Podiatry
 

Surgery

208600000X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PORTLAND CLINIC

NPI # 1558379099
LBN Legal business name PORTLAND CLINIC
Authorized official AMY MULCASTER - (CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/03/2006
Last updated 04/30/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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