PPM Oregon LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PPM OREGON LLC

Practice address

7515 NE Ambassador PL Ste C
Portland, OR 97220-1379

Phone

(888) 253-6598

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Amber L Tueller

Title

Secretary

Phone

(208) 207-2726

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Finding Home Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Eagle, ID
  • NPI 1609327022

  Member Of

  NPD member

Locations

Practitioners 1

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

• Viktoriya Mikhaylovna Dimaku, FNP

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1619404316
  Medicare reassignment NPD

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1891434528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 E RIVERSIDE DR STE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 NE AMBASSADOR PL STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201379",
            "telephone_number": "888-253-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPM OREGON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard C Powers, FNP
• Sarah Beth Powers, M.D.
• Keith Powrie, LCSW
• Kayla Pozarycki, RN
• Stephanie Pozuelos
• PPSG Acquisition Entity, LLC
• Sheila Prabhu, PHARMD
• Ganga Pradeep
• Ajay Bahadur Pradhan, DO
• Wendy Iliana Prado-Angeles

• Multi-Specialty Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Multi-Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.