NORTHWEST PRIMARY CARE GROUP PC; NPI #1023032372

Contact Information

NORTHWEST PRIMARY CARE GROUP PC

16144 SE HAPPY VALLEY TOWN CENTER DR STE 101
HAPPY VALLEY, OR 97086-4257

Phone: 503-353-1272
Fax: 503-654-4815
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Sleep Disorder Diagnostic	261QS1200X
Durable Medical Equipment & Medical Supplies	332B00000X	54	Other Medical Supply Company

Indicates primary specialty

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NPI Profile & details for NORTHWEST PRIMARY CARE GROUP PC

NPI Number 1023032372

LBN Legal business name NORTHWEST PRIMARY CARE GROUP PC

Authorized official MICHAEL WHITBECK - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/27/2006

Last updated 06/03/2020 - About 6 years ago

Identifiers

OR	Medicaid	022990
OR	Other	CE8055	RAILROAD GROUP PTAN

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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NORTHWEST PRIMARY CARE GROUP PC

Contact Information

Specialty

Sleep Disorder Diagnostic

Durable Medical Equipment & Medical Supplies

NPI Profile & details for NORTHWEST PRIMARY CARE GROUP PC

Reviews for NORTHWEST PRIMARY CARE GROUP PC