Portland Clinic

A Medicare group practice based in Portland, OR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8224942867), with 114 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8224942867The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
2
Group size
93 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20031118000101 OR Part B Supplier - Clinic/Group Practice 1558379099
O20080208000555 OR Part B Supplier - Ambulatory Surgical Center 1508040486

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 114

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (114) or whom Care Compare lists as members (93).

Sources for this page