Organization Active NPI

Ddchealth, LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1154985752
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DDCHEALTH, LLC
Practice address
80 SE Madison St Ste 150
Portland, OR 97214-4527
Phone
(971) 206-9211
Fax
(877) 420-5510
NPI assigned
Apr 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Authorized official

Name
Mr. Dustin Carlson, FNP-BCNPI 1497109730
Title
Provider General Manager
Phone
(503) 944-9727

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

80 SE Madison St Ste 150
Portland, OR 97214-4527

Mailing address

80 SE Madison St Ste 150
Portland, OR 97214-4527
Phone (971) 206-9211

National Provider Directory

National Provider Directory

Locations

3055 NW Yeon Ave
Portland, OR 97210
Phone (503) 919-7874

80 SE Madison St
Ste 150
Portland, OR 97214
Phone (971) 206-9211

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1154985752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "971-206-9211",
            "fax_number": "949-989-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SE MADISON ST STE 150",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144527",
            "telephone_number": "971-206-9211",
            "fax_number": "877-420-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDCHEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "PROVIDER GENERAL MANAGER",
        "authorized_official_telephone_number": "503-944-9727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 24, 2026; 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.