Active NPI
Generations Family Medicine, Professional Corporation
- Primary Care Clinic/Center
- Portland, OR
National Provider Identifier
1770926941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD28383
- Legal business name
- GENERATIONS FAMILY MEDICINE, PROFESSIONAL CORPORATION
- Practice address
- 8106 NE Wasco St
Portland, OR 97213-6737 - Phone
- (503) 255-8258
- Fax
- (503) 252-1668
- NPI assigned
- Apr 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thanhlong Duc Pham, MD
- Title
- Physician
- Phone
- (503) 703-1500
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD28383 | OR | Primary |
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
8106 NE Wasco St
Portland, OR 97213-6737
Mailing address
8106 NE Wasco St
Portland, OR 97213-6737
Phone (503) 255-8258
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241669 | Medicaid | OR | |
| R142499 | Other | OR | MEDICARE PROVIDER NUMBER |
Other names 1
- Generations Family Medicine, P.C
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Portland, OR
- NPI 1265692511
-
- Internal Medicine Physician
- Portland, OR
- NPI 1306801121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1770926941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8106 NE WASCO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136737",
"telephone_number": "503-255-8258",
"fax_number": "503-252-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8106 NE WASCO ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136737",
"telephone_number": "503-255-8258",
"fax_number": "503-252-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONS FAMILY MEDICINE, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-08",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "THANHLONG",
"authorized_official_middle_name": "DUC",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "503-703-1500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OR",
"license": "MD28383",
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241669",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER NUMBER",
"identifier": "R142499",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Generations Family Medicine, P.C",
"code": "3",
"type": "Doing Business As"
}
]
}
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 20, 2026; 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.