River Medical Clinic PC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

MD15086 Issued in OR

Legal business name

RIVER MEDICAL CLINIC PC

Practice address

13021 SE River Rd
Portland, OR 97222-8062

Phone

(360) 260-8225

Fax

(360) 397-0189

NPI assigned

May 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice L Spencer

Title

Business Office Manager

Phone

(360) 260-8225

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GREGORY V.S. CAMP, MD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Vansantvoord Camp, MD

  • Internal Medicine Physician
  • Milwaukie, OR
  • NPI 1912122698
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023226271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33348",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972923348",
            "telephone_number": "360-260-8225",
            "fax_number": "360-397-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 SE RIVER RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972228062",
            "telephone_number": "360-260-8225",
            "fax_number": "360-397-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER MEDICAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "360-260-8225"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD15086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196295",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREGORY V.S. CAMP, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Riveira
• Rainer Quinn Catkin Rivenburgh, MAAT, ATR-BC, LPC
• River Breeze Home Care LLC
• River Breeze LLC
• River Family Health
• River'S Way Community Clinic
• Karina Rivera Estrella
• Maria Teresa Rivera Garcia, PHD, MSC, QMHP
• Karla Rivera-Salgado
• Pablo Armando Rivera-Sanchez, MSW

• Geriatric Medicine (Family Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Geriatric Medicine (Family Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.