Organization Active NPI

Generations Family Medicine, Professional Corporation

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1770926941
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD28383 Issued in OR
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

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Thanhlong Duc Pham, MDNPI 1265692511
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
241669MedicaidOR
R142499OtherORMEDICARE PROVIDER NUMBER

Other names 1

  • Generations Family Medicine, P.C Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130603000304 OR Part B Supplier - Clinic/Group Practice 7416195466 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.