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MTN. VIEW FAMILY PRACTICE PC NPI 1861520991


NPI Information

NPI: 1861520991
Provider Name: MTN. VIEW FAMILY PRACTICE, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D0876443

Address:
24900 SE STARK ST
SUITE 205
GRESHAM, OR
ZIP 97030
Phone: (503) 665-1010
Get Directions

MTN. VIEW FAMILY PRACTICE, PC is a family medicine in Gresham, OR. The provider is 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. MTN. VIEW FAMILY PRACTICE, PC NPI is 1861520991. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24900 SE STARK ST
SUITE 205
GRESHAM, OR
ZIP 97030-355
Phone: (503) 665-1010
Fax: (503) 665-1023

The provider's authorized official is Paul V Podett .
The authorized official title is President and has the following contact phone number (503) 665-1010.

The CLIA number assigned to this NPI record is 38D0876443 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/1/2007 and was last updated on 3/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD18120OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MD18120OTHEROREGONMD LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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