Organization Active NPI

Basic Family Healthcare

  • Primary Care Clinic/Center
  • Tigard, OR
National Provider Identifier
1376917641
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BASIC FAMILY HEALTHCARE
Practice address
16200 SW Pacific Hwy Ste H3013
Tigard, OR 97224-4053
Phone
(541) 241-3071
Fax
(541) 241-8031
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Eileen ClevelandNPI 1700049152
Title
Administrator
Phone
(541) 241-3071

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

16200 SW Pacific Hwy Ste H3013
Tigard, OR 97224-4053

Mailing address

16200 SW Pacific Hwy Ste H3013
Tigard, OR 97224-4053
Phone (541) 241-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171108003038 OR Part B Supplier - Clinic/Group Practice 5698077626 Receives reassigned benefits from 1 practitioner
Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory

Locations

401 E Front Ave
Ste 208
Coeur D Alene, ID 83814
Phone (208) 664-1505

334 E Washington Ave
Cottage Grove, OR 97424
Phone (541) 241-3071

1813 W Harvard Ave
Ste 233
Roseburg, OR 97471
Phone (541) 391-7506

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": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1376917641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE H3013",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244053",
            "telephone_number": "541-241-3071",
            "fax_number": "541-241-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 SW PACIFIC HWY STE H3013",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972244053",
            "telephone_number": "541-241-3071",
            "fax_number": "541-241-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-241-3071"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.