NPIMap

Organization Active NPI

River Family Health

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1386980340
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1873 Issued in OR
Legal business name
RIVER FAMILY HEALTH
Practice address
2100 SW Camelot CT
Portland, OR 97225-3700
Phone
(503) 252-8125
Fax
(503) 256-8422
NPI assigned
Dec 19, 2012
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Karen Celeste Dewitt, NDNPI 1316217342
Title
Owner/Operator
Phone
(971) 212-2553

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
Clinic/Center 261Q00000X 1873 OR Primary

Addresses

Primary practice location

2100 SW Camelot CT
Portland, OR 97225-3700

Mailing address

2100 SW Camelot CT
Portland, OR 97225-3700
Phone (503) 252-8125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1386980340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SW CAMELOT CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253700",
            "telephone_number": "503-252-8125",
            "fax_number": "503-256-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SW CAMELOT CT",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253700",
            "telephone_number": "503-252-8125",
            "fax_number": "503-256-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "DEWITT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "971-212-2553",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1873",
            "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 Dec 19, 2012; 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.