NORTHWEST PRIMARY CARE GROUP PC (NPI# 1801856737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801856737 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PRIMARY CARE GROUP PC |
| Practice Address |
3033 Se Monroe St Milwaukie OR 97222-6636 |
| Mailing Address |
Po Box 22075 Milwaukie OR 97269-2075 |
| Practice Telephone | 5036594988 |
| Practice Fax Number | 5036594730 |
| Mailing Telephone | 5036594777 |
| Mailing Fax Number | 5036525223 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-06-03 |
| Authorized Official Name | MR. MICHAEL WHITBECK (ADMINISTRATOR) |
| Authorized Official Telephone | 5036594777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CLIA | 38D0624619 | 01 |
| OR | RAILROAD GROUP PTAN | CE8055 | 01 |
| OR | 500620283 | 05 | |
| OR | 226667 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043230972 | Northwest Primary Care Group PC | Nurse Practitioner | 16144 Se Happy Valley Town Center Dr Ste 101, Happy Valley, OR 97086-4257 | 2006-07-21 |
| 1144319658 | Northwest Primary Care Group PC | Nurse Practitioner | 6327 Se Milwaukie Ave, Portland, OR 97202-5418 | 2006-10-12 |
| 1083638589 | Northwest Primary Care Group PC | Family Medicine | 10024 Se 32nd Ave, Milwaukie, OR 97222-6514 | 2006-07-27 |
| 1023032372 | Northwest Primary Care Group PC | Durable Medical Equipment & Medical Supplies | 16144 Se Happy Valley Town Center Dr Ste 101, Happy Valley, OR 97086-4257 | 2006-07-27 |
| 1922028869 | Northwest Primary Care Group PC | Occupational Therapist | 12119 Se Stevens Ct, Portland, OR 97266-8620 | 2006-07-21 |
| Street Address |
3033 SE MONROE ST |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-6636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811970346 | Sara K. Becker | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2005-11-29 |
| 1760634877 | Leslie Bryden | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2008-10-21 |
| 1093973000 | Jennifer Dawn Herber | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2008-05-27 |
| 1598945131 | Subramaniam Seetharaman | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2007-11-12 |
| 1245311661 | Barry B Rhodes | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2006-10-19 |
| 1174506604 | Walter R. Buhl | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2005-11-29 |
| 1164405692 | Elizabeth E. Callaghan | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - 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. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649355462 | Justin E Osborn | Family Medicine | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2006-10-27 |
| 1376599910 | Randall Fryer | Family Medicine | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2006-05-25 |
| 1699723304 | Joseph E. Yankee | Family Medicine | 6564 Se Lake Road, Suite 100, Milwaukie, OR 97222-2238 | 2006-05-04 |
| 1689639841 | Marcus H Cornwall | Family Medicine | 6975 Se Lake Rd, Milwaukie, OR 97267-2103 | 2006-04-19 |
| 1346218369 | Oak Grove Family Medical Clinic P C | Family Medicine | 2250 Se Oak Grove Blvd #b, Milwaukie, OR 97267-2670 | 2006-03-08 |
| 1811970346 | Sara K. Becker | Family Medicine | 3033 Se Monroe St, Milwaukie, OR 97222-6636 | 2005-11-29 |
| 1659361517 | John C Stiger | Family Medicine | 15195 Se Thornton Dr, Milwaukie, OR 97267-2551 | 2005-10-24 |
| 1396735254 | Roberta W Ruggeri | Family Medicine | 2250 Se Oakgrove Blvd, Suite B, Milwaukie, OR 97267-2659 | 2005-10-24 |
| 1922492586 | Christelle Serra-van Brunt | Family Medicine | 10330 Se 32nd Ave, Ste 205, Milwaukie, OR 97222-6587 | 2015-03-22 |
| 1871938696 | Matthew D Moravec | Family Medicine | 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587 | 2013-05-07 |
| Find all providers in MILWAUKIE | ||||
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| 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.