National Provider Identifier Database

NORTHWEST PRIMARY CARE GROUP PC
Sleep Disorder Diagnostic


Contact Information

NORTHWEST PRIMARY CARE GROUP PC
16144 SE HAPPY VALLEY TOWN CENTER DR STE 101
HAPPY VALLEY, OR97086-4257
Phone: 503-353-1272
Fax: 503-654-4815
Website:
Specialty Taxonomy Code
* Sleep Disorder Diagnostic 261QS1200X
Durable Medical Equipment & Medical Supplies 332B00000X

* Indicates primary specialty

NPI Profile & details for NORTHWEST PRIMARY CARE GROUP PC

NPI Number 1023032372
Legal business name
LBN
NORTHWEST PRIMARY CARE GROUP PC
Authorized official MICHAEL WHITBECK - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/27/2006
Last updated 06/03/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 022990
  • 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.

Reviews for NORTHWEST PRIMARY CARE GROUP PC

There are currently no reviews for NORTHWEST PRIMARY CARE GROUP PC


NPIdb - Home
v2.201