Organization Active NPI

Oregon Healthcare Resources LLC

Doing business as Family Medical Group NE

  • Durable Medical Equipment & Medical Supplies
  • Portland, OR
National Provider Identifier
1891560025
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OREGON HEALTHCARE RESOURCES LLC
Doing business as
Family Medical Group NE
Practice address
2647 NE 33Rd Ave
Portland, OR 97212-3647
Phone
(503) 288-0083
Fax
(971) 282-0120
NPI assigned
Nov 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Meagan S Treadway
Title
Credentialing Specialist
Phone
(541) 242-4384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2647 NE 33Rd Ave
Portland, OR 97212-3647

Mailing address

PO Box 1648
Eugene, OR 97440-1648
Phone (541) 687-4900

Other names 1

  • Family Medical Group NE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0623880Family Medical Group, NE2647 NE 33Rd Ave, Portland, OR 97212Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1891560025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974401648",
            "telephone_number": "541-687-4900",
            "fax_number": "541-463-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123647",
            "telephone_number": "503-288-0083",
            "fax_number": "971-282-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTHCARE RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "TREADWAY",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "541-242-4384"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Group NE",
            "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 Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.