Active NPI
Neighborhood Health Center
Doing business as NHC Beaverton Medical Clinic
- Federally Qualified Health Center (FQHC)
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- NEIGHBORHOOD HEALTH CENTER
- Doing business as
- NHC Beaverton Medical Clinic
- Practice address
- 17200 NW Corridor CT Ste 110
Beaverton, OR 97006-3295 - Phone
- (503) 941-3033
- NPI assigned
- Sep 17, 2019
- Last updated
- Mar 19, 2020
- Organization subpart
- Yes
- Parent organization
- NEIGHBORHOOD HEALTH CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Blain A. West
- Title
- Cfo
- Phone
- (503) 941-3033
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
17200 NW Corridor CT Ste 110
Beaverton, OR 97006-3295
Mailing address
7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033
Other names 1
- NHC Beaverton Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110802000211 | OR | Part B Supplier - Clinic/Group Practice | 8426227893 |
Receives reassigned benefits from 37 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oregon City, OR; Portland, OR; Milwaukie, OR; Hillsboro, OR; Canby, OR |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Canby, OR
- NPI 1033489224
O20110802000211
-
- Federally Qualified Health Center (FQHC)
- Milwaukie, OR
- NPI 1083984264
O20110802000211
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1164793469
O20110802000211
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1174820815
O20110802000211
-
- Federally Qualified Health Center (FQHC)
- Hillsboro, OR
- NPI 1356725998
O20110802000211
-
dba NHC Oregon City Medical
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1457902561
O20110802000211
National Provider Directory
National Provider Directory- Part of
- Neighborhood Health Center
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community/Retail Pharmacy
- Canby, OR
- NPI 1487297255
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Canby, OR
- NPI 1891251286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584576000000",
"number": "1548810955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SW HUNZIKER RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232302",
"telephone_number": "503-941-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 NW CORRIDOR CT STE 110",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970063295",
"telephone_number": "503-941-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORHOOD HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEIGHBORHOOD HEALTH CENTER",
"enumeration_date": "2019-09-17",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "BLAIN",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "503-941-3033"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NHC Beaverton Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.