WEST LINN FAMILY HEALTH CENTER, P.C. (NPI# 1780725564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780725564 |
| Entity Type | Organization |
| Organization Name | WEST LINN FAMILY HEALTH CENTER, P.C. |
| Practice Address |
18380 Willamette Dr Suite 202 West Linn OR 97068-1200 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 5036358384 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD16003 | OR | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WEST LINN FAMILY HEALTH CENTER, P.C. | 18380 Willamette Dr Ste 202, West Linn, OR 97068 |
| Street Address |
18380 WILLAMETTE DR SUITE 202 |
| City | WEST LINN |
| State | OR |
| Zip Code | 97068-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114959707 | West Linn Family Health Center | Family Medicine | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 | 2006-07-06 |
| 1265886485 | Natalie Fischer | Nurse Practitioner | 18380 Willamette Dr, #202, West Linn, OR 97068-1200 | 2016-04-14 |
| 1114232576 | Andrew Gerry | Nurse Practitioner | 18380 Willamette Dr, Suite 202, West Linn, OR 97068-1200 | 2010-08-10 |
| 1396910451 | Farnaz Dana Fakhari | Dermatology | 18380 Willamette Dr, 201, West Linn, OR 97068-1200 | 2008-04-29 |
| 1689867830 | Jane Marie Grace | Dietitian, Registered | 18380 Willamette Dr, West Linn, OR 97068-1200 | 2007-08-21 |
| 1023211174 | Ryan Cate | Physician Assistant | 18380 Willamette Dr, Ste 202, West Linn, OR 97068-1200 | 2007-06-07 |
| 1760692735 | Cherie S Martchenke | Nurse Practitioner | 18380 Willamette Dr, Ste 202, West Linn, OR 97068-1200 | 2007-05-22 |
| 1124238100 | Linda M Cioffi | Nurse Practitioner | 18380 Willamette Dr, Ste 202, West Linn, OR 97068-1200 | 2007-05-22 |
| 1932325511 | Marylhurst Ear, Nose, Throat, Head & Neck Surgery | Clinic/Center | 18380 Willamette Dr, Suite 201, West Linn, OR 97068-1200 | 2007-04-18 |
| 1235234766 | Franklin Steele Coale | Otolaryngology | 18380 Willamette Dr, Ste 201, West Linn, OR 97068-1200 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
| 1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
| 1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
| 1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
| 1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
| 1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
| 1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
| 1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
| 1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
| 1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
| Find all providers in zip 97068 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407192503 | Alpine Natural Therapeutics Incorporated | Non-Pharmacy Dispensing Site | 2008 Willamette Falls Dr, Suite 200, West Linn, OR 97068-4658 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
| 1962012955 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 111 A Ave, Lake Oswego, OR 97034-3116 | 2020-08-04 |
| 1366052367 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 25600 Sw Argyle Ave Ste B, Wilsonville, OR 97070-4701 | 2020-08-04 |
| 1659981652 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2711 Ne Town Center Dr Ste 2, Hillsboro, OR 97006-8951 | 2020-08-04 |
| 1902416175 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8179 N Lombard St, Portland, OR 97203-3130 | 2020-08-03 |
| 1144830365 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 945 Nw Lovejoy St, Portland, OR 97209-3475 | 2020-08-03 |
| 1174133300 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 7855 Sw Capitol Hwy, Portland, OR 97219-2465 | 2020-08-03 |
| 1386254514 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 3872 N Mississippi Ave, Portland, OR 97227-1161 | 2020-08-03 |
| 1194335364 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2490 Willamette St Ste 4, Eugene, OR 97405-7211 | 2020-08-03 |
| 1265042436 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 11355 Sw Scholls Ferry Rd, Beaverton, OR 97008-7167 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WEST LINN FAMILY HEALTH CENTER, P.C..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.