NPIMap

Outside in

A Medicare group practice based in Portland, OR: 7 NPIs enrolled under one PECOS associate control ID (PAC ID 9638256662), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638256662The 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
7
Group size
12 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 2 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20080401000752 OR Part A Provider - Federally Qualified Health Center (FQHC) 1568401347
O20170919002919 OR Part B Supplier - Clinic/Group Practice 1477005619
O20240503003546 OR Part A Provider - Federally Qualified Health Center (FQHC) 1306594445
O20240918004672 OR Part A Provider - Federally Qualified Health Center (FQHC) 1619663697
O20260211002477 OR Part A Provider - Federally Qualified Health Center (FQHC) 1063230480
O20200820003635 OR Part A Provider - Federally Qualified Health Center (FQHC) 1972124196
O20220621002557 OR Part A Provider - Federally Qualified Health Center (FQHC) 1275280729

NPIs in this group 7

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 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (12).

Sources for this page