Organization Active NPI

Family Health Practitioners Clinic PC

  • Family Medicine Physician
  • Canby, OR
National Provider Identifier
1508151614
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY HEALTH PRACTITIONERS CLINIC PC
Practice address
143 NW 4TH Ave
Canby, OR 97013-3101
Phone
(503) 263-6611
Fax
(503) 266-5674
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Tonya K Inman, FNP
Title
Owner
Phone
(503) 263-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OR Primary

Addresses

Primary practice location

143 NW 4TH Ave
Canby, OR 97013-3101

Mailing address

143 NW 4TH Ave
Canby, OR 97013-3101
Phone (503) 263-6611

National Provider Directory

National Provider Directory

Locations

143 NW 4th Ave
Canby, OR 97013
Phone (503) 263-6611

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1508151614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133101",
            "telephone_number": "503-263-6611",
            "fax_number": "503-266-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NW 4TH AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133101",
            "telephone_number": "503-263-6611",
            "fax_number": "503-266-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH PRACTITIONERS CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-263-6611",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.