Active NPI
West Linn Primary Care, P.C
- Clinic/Center
- West Linn, OR
National Provider Identifier
1124396429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WEST LINN PRIMARY CARE, P.C
- Practice address
- 18670 Willamette Dr
Suite 101
West Linn, OR 97068-1796 - Phone
- (503) 636-1133
- Fax
- (503) 636-1331
- NPI assigned
- Dec 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Huey J Meeker, MD
- Title
- President
- Phone
- (503) 636-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
18670 Willamette Dr
Suite 101
West Linn, OR 97068-1796
Mailing address
18670 Willamette Dr
Suite 101
West Linn, OR 97068-1796
Phone (503) 636-1133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063016 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2033609 | West Linn Primary Care | Certificate of waiver | Dec 6, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- West Linn, OR
- NPI 1437242997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323302400000",
"number": "1124396429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18670 WILLAMETTE DR",
"address_2": "SUITE 101",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681796",
"telephone_number": "503-636-1133",
"fax_number": "503-636-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18670 WILLAMETTE DR",
"address_2": "SUITE 101",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681796",
"telephone_number": "503-636-1133",
"fax_number": "503-636-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST LINN PRIMARY CARE, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-08",
"status": "A",
"authorized_official_last_name": "MEEKER",
"authorized_official_first_name": "HUEY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-636-1133",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063016",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.