NPIMap

Organization Active NPI

Portland Family Practice Inc.

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1508857657
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
358997 Issued in OR
Legal business name
PORTLAND FAMILY PRACTICE INC.
Practice address
541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862
Phone
(503) 233-6940
Fax
(503) 236-2676
NPI assigned
Oct 28, 2005
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Mr. Eugene Uphoff, M.D.NPI 1134110299
Title
Physician
Phone
(503) 233-6940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 358997 OR Primary

Addresses

Primary practice location

541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862

Mailing address

541 NE 20TH Ave
Suite 210
Portland, OR 97232-2862
Phone (503) 233-6940

National Provider Directory

National Provider Directory

Locations

541 NE 20th Ave
Ste 210
Portland, OR 97232
Phone (503) 233-6940

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1508857657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322862",
            "telephone_number": "503-233-6940",
            "fax_number": "503-236-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE",
            "address_2": "SUITE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322862",
            "telephone_number": "503-233-6940",
            "fax_number": "503-236-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND FAMILY PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "UPHOFF",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-233-6940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "358997",
            "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 Jan 27, 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.