NPIMap

Organization Active NPI

Family Practice Clinic LLC

Doing business as Family Practice Clinic

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1093862245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO22368 Issued in OR
Legal business name
FAMILY PRACTICE CLINIC LLC
Doing business as
Family Practice Clinic
Practice address
10250 SW Greenburg Rd
Suite 110 Building 4
Portland, OR 97223-5443
Phone
(503) 244-4268
Fax
(503) 244-4261
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tanya E CarterNPI 1528031630
Title
Owner
Phone
(503) 244-4268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO22368 OR Primary

Addresses

Primary practice location

10250 SW Greenburg Rd
Suite 110 Building 4
Portland, OR 97223-5443

Mailing address

10250 SW Greenburg Rd
Suite 110 Building 4
Portland, OR 97223-5443
Phone (503) 244-4268

Other names 1

  • Family Practice Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

9385 SW Locust St
Tigard, OR 97223
Phone (503) 244-4268

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093862245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW GREENBURG RD",
            "address_2": "SUITE 110 BUILDING 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235443",
            "telephone_number": "503-244-4268",
            "fax_number": "503-244-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW GREENBURG RD",
            "address_2": "SUITE 110 BUILDING 4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235443",
            "telephone_number": "503-244-4268",
            "fax_number": "503-244-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-244-4268",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO22368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • 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.