Individual provider Active NPI

Muhammad Farhan Khaliq, M.D.

  • Internal Medicine Physician
  • Clackamas, OR
National Provider Identifier
1790168409
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD216154 Issued in OR
Practice address
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone
(800) 813-2000
NPI assigned
Jun 30, 2015
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 320937 LA
Internal Medicine Physician 207R00000X MD61376943 WA
Internal Medicine Physician 207R00000X MD216154 OR Primary

Addresses

Primary practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2099
Phone (800) 813-2000

Other practice location 1

830 Pennsylvania Ave
Women and Children's Medical Staff Office, Suite 103
Charleston, WV 25302-3302
Phone (304) 388-2525

Other practice location 2

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 501-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230419000662 WA Practitioner - Internal Medicine 0244546331 Reassigns benefits to 6 organizations
I20230608000355 OR Practitioner - Internal Medicine 0244546331 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group LLCGroup PAC ID 6204199086, 26 clinicians
Vibra Physicians LLCGroup PAC ID 8921233933, 30 clinicians
PeacehealthGroup PAC ID 5890689293, 188 clinicians
Impact Physician Group Washington LLCGroup PAC ID 7315333838, 6 clinicians

Practice addresses (Care Compare)

10300 NE Hancock St
Portland, OR 97220-3831
Phone (503) 257-5500

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

2805 NE 129TH St
Vancouver, WA 98686-3324
Phone (360) 787-4092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
320937LAMDInternal Medicine Physician
MD216154ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Impact Physician Group, LLC Internal Medicine CurrentSince Apr 27, 2024 Accepting new patients
Columbia Lutheran Charities CurrentSince Nov 3, 2023 Accepting new patients
South Salem Rehabilitation, LLC CurrentSince Feb 23, 2026 Accepting new patients
Alpha Wellness Center and Spa CurrentSince Jan 21, 2024 Accepting new patients
Impact Physician Group, Washington LLC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Care Talk Health FL PA CurrentSince Aug 1, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Apogee Medical Group PC Internal Medicine Current Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jul 1, 2025 Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Vibra Physicians LLC CurrentSince Sep 1, 2025 Accepting new patients
Peacehealth Internal Medicine CurrentSince Jun 13, 2023 Accepting new patients
Columbia Lutheran Charities CurrentSince Nov 3, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine CurrentSince Feb 23, 2026 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jul 1, 2025 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Feb 23, 2026 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Grant County Public Hospital District 1 Past Accepting new patients
Peacehealth Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

410 Broad St
Gadsden, AL 35901
Phone (256) 438-5107

21 Eastbrook Bnd
Ste 218
Peachtree Cty, GA 30269
Phone (260) 407-8007

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

660 S Coolidge St
Moses Lake, WA 98837

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

2805 NE 129th St
Vancouver, WA 98686
Phone (360) 356-1890

Interoperability endpoints

  • Direct secure messaging: mkhaliq3380519@wm.providencedirect.org
  • Direct secure messaging: mkhaliq608995@direct.peacehealth.org

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 25

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1790168409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322099",
            "telephone_number": "800-813-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "800-813-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Pennsylvania Ave",
            "address_2": "Women and Children's Medical Staff Office, Suite 103",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023302",
            "country_code": "US",
            "telephone_number": "304-388-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986322367",
            "country_code": "US",
            "telephone_number": "360-501-3601",
            "fax_number": "360-442-6843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHALIQ",
        "first_name": "MUHAMMAD",
        "middle_name": "FARHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "320937",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61376943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD216154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.