NPIMap

Organization Active NPI

Premise Health of Oregon Medical P C

  • Primary Care Clinic/Center
  • Lebanon, OR
National Provider Identifier
1093126385
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREMISE HEALTH OF OREGON MEDICAL P C
Practice address
1001 Reeves Pkwy
Lebanon, OR 97355-7001
Phone
(541) 258-0221
Fax
(541) 981-5187
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Authorized official

Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1001 Reeves Pkwy
Lebanon, OR 97355-7001

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Other practice location 1

6936 N Fathom St
Portland, OR 97217-3928
Phone (503) 745-7138

Other names 1

  • My Health Center At Lowe's Lebanon Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1082439Premise Health of Oregon Medical, PC1001 Reeves Parkway, Lebanon, OR 97355Certificate of waiverApr 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Deschutes Juvenile Detention Center Clinic9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 Reeves Pkwy
Lebanon, OR 97355
Phone (541) 258-0221

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769990400000",
    "number": "1093126385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 REEVES PKWY",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973557001",
            "telephone_number": "541-258-0221",
            "fax_number": "541-981-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6936 N Fathom St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972173928",
            "country_code": "US",
            "telephone_number": "503-745-7138",
            "fax_number": "503-745-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMISE HEALTH OF OREGON MEDICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Health Center At Lowe's Lebanon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Health Center At Lowe's Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.