Organization Active NPI

Pridepoint Health

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1417795626
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIDEPOINT HEALTH
Practice address
1827 NE 44TH Ave Ste 220
Portland, OR 97213-1443
Phone
(503) 616-2877
NPI assigned
Jul 20, 2024
Last updated
Dec 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Ryan Coe, MDNPI 1194229492
Title
Co-Owner / Physician
Phone
(503) 616-2877

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 NU Primary

Addresses

Primary practice location

1827 NE 44TH Ave Ste 220
Portland, OR 97213-1443

Mailing address

1827 NE 44TH Ave Ste 220
Portland, OR 97213-1443
Phone (503) 616-2877

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2312520Pridepoint Health1827 NE 44TH Ave, Ste 220, Portland, OR 97213Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

Locations

1827 NE 44th Ave
Ste 220
Portland, OR 97213
Phone (503) 616-2877

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": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1417795626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131443",
            "telephone_number": "503-616-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NE 44TH AVE STE 220",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131443",
            "telephone_number": "503-616-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDEPOINT HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "COE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CO-OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "503-616-2877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "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 Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.