Organization Active NPI

Comfort Clinic PLLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1255057980
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COMFORT CLINIC PLLC
Doing business as
Comfort Clinic PLLC
Practice address
11731 NE Glisan St
Portland, OR 97220-2141
Phone
(503) 409-3422
NPI assigned
Oct 14, 2022
Last updated
Sep 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Pamela Dawn Voltz, PHYSCIAN ASSISTANTNPI 1023443546
Title
Owner/Provider
Phone
(503) 489-7118

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

11731 NE Glisan St
Portland, OR 97220-2141

Mailing address

11954 NE Glisan St # Box 437
Portland, OR 97220-2143
Phone (503) 489-7118

Other practice location 1

3900 Kruse Way Pl
Lake Oswego, OR 97035-2512
Phone (503) 489-7118

Other practice location 2

850 SW Touchmark Way
Portland, OR 97225-6328
Phone (503) 489-7118

Other practice location 3

2911 SE Village Loop
Vancouver, WA 98683-8103
Phone (503) 489-7118

Other names 1

  • COMFORT CLINIC PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230921001070 OR Part B Supplier - Clinic/Group Practice 8426402603 Receives reassigned benefits from 2 practitioners
Practice locations: Portland, OR
O20231211001695 WA Part B Supplier - Clinic/Group Practice 8426402603 Receives reassigned benefits from 2 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

11731 NE Glisan St
Portland, OR 97220
Phone (503) 238-1601

11954 NE Glisan St
Portland, OR 97220

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": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1255057980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11954 NE GLISAN ST # BOX 437",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202143",
            "telephone_number": "503-489-7118",
            "fax_number": "503-238-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11731 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202141",
            "telephone_number": "503-409-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Kruse Way Pl",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970352512",
            "country_code": "US",
            "telephone_number": "503-489-7118",
            "fax_number": "503-741-8190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 SW Touchmark Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256328",
            "country_code": "US",
            "telephone_number": "503-489-7118",
            "fax_number": "503-741-8190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2911 SE Village Loop",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986838103",
            "country_code": "US",
            "telephone_number": "503-489-7118",
            "fax_number": "503-741-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMFORT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "VOLTZ",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-489-7118",
        "authorized_official_credential": "PHYSCIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMFORT CLINIC PLLC",
            "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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.