NPIMap

County of Clackamas Office of County Auditor

A Medicare group practice based in Oregon City, OR: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 9537065560), with 130 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9537065560The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
OR
Enrollments
8
Group size
75 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 6 places

Enrollment records 8

Enrollment IDStateProvider typeNPI
O20031210000827 OR Part B Supplier - Clinic/Group Practice 1841443587
O20040602000311 OR Part A Provider - Federally Qualified Health Center (FQHC) 1841442001
O20080912000100 OR Part A Provider - Federally Qualified Health Center (FQHC) 1720017809
O20101119000241 OR Part A Provider - Federally Qualified Health Center (FQHC) 1245269315
O20101026001528 OR Part A Provider - Federally Qualified Health Center (FQHC) 1275880866
O20120614000822 OR Part A Provider - Federally Qualified Health Center (FQHC) 1891042487
O20140331000839 OR Part A Provider - Federally Qualified Health Center (FQHC) 1447507215
O20130502000225 OR Part A Provider - Federally Qualified Health Center (FQHC) 1043566847

NPIs in this group 8

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 130

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (128) or whom Care Compare lists as members (75).

Sources for this page