Northwest Primary Care Group Pc is a
Physical Medicine & Rehabilitation based in Portland, Oregon. Northwest Primary Care Group Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
12119 Se Stevens Ct, Portland, Oregon. It can be reached at their office (for appointments etc.) via phone at
(503) 353-1278.
NPI number for Northwest Primary Care Group Pc is 1922028869 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 1922028869.
Healthcare Provider's Profile
| Full Name | Northwest Primary Care Group Pc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 12119 Se Stevens Ct, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1922028869
- Provider Enumeration Date: 07/21/2006
- 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 |
|---|
| 1922028869 | NPI | - | NPPES |
| CE8055 | Other | OR | RAILROAD GROUP PTAN |
| 049072 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (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
12119 Se Stevens Ct,
Portland, OR 97266-8620
Ph: (503) 353-1278 |
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