Northwest Primary Care Group, Pc is a
Family Medicine based in Milwaukie, Oregon. Northwest Primary Care Group, Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
12300 Se Mallard Way, Suite 160, Milwaukie, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 659-4777.
NPI number for Northwest Primary Care Group, Pc is 1558572180 and their current mailing address is Po Box 22075, Milwaukie, Oregon. Northwest Primary Care Group, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1558572180.
Healthcare Provider's Profile
| Full Name | Northwest Primary Care Group, Pc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 12300 Se Mallard Way, Milwaukie, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1558572180
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 06/03/2020
Medical Identifiers
Medical identifiers for Northwest Primary Care Group, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558572180 | NPI | - | NPPES |
| 230426 | Medicaid | OR | |
| 049072 | Medicaid | OR | |
| 226666 | Medicaid | OR | |
| 38D0624619 | Other | OR | CLIA |
| 38D1059196 | Other | OR | CLIA |
| 500620284 | Medicaid | OR | |
| CE8055 | Other | OR | RAILROAD GROUP PTAN |
| 022990 | Medicaid | OR | |
| 500620283 | Medicaid | OR | |
| 38D0624596 | Other | OR | CLIA |
| 226667 | Medicaid | OR | |
| 274689 | Medicaid | OR | |
| 38D0888269 | Other | OR | CLIA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Northwest Primary Care Group, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Northwest Primary Care Group, Pc
Po Box 22075,
Milwaukie, OR 97269-2075
Ph: (503) 659-4777 | Northwest Primary Care Group, Pc
12300 Se Mallard Way, Suite 160,
Milwaukie, OR 97222-4616
Ph: (503) 659-4777 |
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