- Practice location
- 17200 NW Corridor CT, Suite 110, Beaverton, OR 97006-3295
- Phone
- 503-213-3800
- Fax
- —
- Last updated
- June 25, 2012
Beaverton Family Medicine is a healthcare organization based in Beaverton, OR. Beaverton Family Medicine practices in Beaverton, OR. The NPI Number for Beaverton Family Medicine is 1255607446. The current practice location address for Beaverton Family Medicine is 17200 NW Corridor CT, Suite 110, Beaverton, OR 97006-3295 and can be reached out via phone at 503-213-3800.
Provider Profile Details
- NPI Number
- 1255607446
- Provider Name
- Beaverton Family Medicine
- Provider Entity Type
- Organization
- Address
- 17200 NW Corridor CT, Suite 110, Beaverton, OR 97006-3295
- Phone Number
- 503-213-3800
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Keith Haines · Owner · 503-213-3800
- Provider Enumeration Date
- April 1, 2012
- Last Update Date
- June 25, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17200 NW Corridor CT
Suite 110
Beaverton, OR 97006-3295 - City
- Beaverton
- State
- Oregon
- Zip
- 97006-3295
- Phone Number
- 503-213-3800
Provider Business Mailing Address Details
- Address
- 17200 NW Corridor CT
Suite 110
Beaverton, OR 97006-3295 - City
- Beaverton
- State
- OR
- Zip
- 97006-3295
- Phone Number
- 503-213-3800
License Information
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Beaverton, OR
View all Family Medicine providers in Beaverton →- Anthony H. Lee, M.d. PCFamily Medicine · NPI 1508066267
- Careoregon Community Health, LLCFamily Medicine · NPI 1053630491
- Caroline Barrett, MDFamily Medicine · NPI 1902217813
- Cognicare Northwest LLCFamily Medicine · NPI 1518798560
- Colin P Boehnlein, MDFamily Medicine · NPI 1457055436
- Cynthia D Caraballo-Hunt, MDFamily Medicine · NPI 1366471732
Frequently Asked Questions
What is the NPI number of Beaverton Family Medicine?
The NPI number of Beaverton Family Medicine is 1255607446. It was assigned on April 1, 2012 and is currently active in the NPPES registry.
What is the specialty of Beaverton Family Medicine?
Beaverton Family Medicine is registered under the primary taxonomy Family Medicine (code 207Q00000X).
Where does Beaverton Family Medicine practice?
The practice location is 17200 NW Corridor CT, Suite 110, Beaverton, OR 97006-3295. The office can be reached at 503-213-3800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255607446 directly on the NPPES registry website.