Active NPI
Reperio Health Medical Group, PLLC
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1982438362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REPERIO HEALTH MEDICAL GROUP, PLLC
- Practice address
- 4784 SE 17TH Ave Ste 125
Portland, OR 97202-4715 - Phone
- (844) 504-0402
- Fax
- (503) 296-5806
- NPI assigned
- Aug 28, 2024
- 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
- Dr. Alex Marsh, MD
- Title
- Managing Owner
- Phone
- (503) 931-1114
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
4784 SE 17TH Ave Ste 125
Portland, OR 97202-4715
Mailing address
4784 SE 17TH Ave Ste 125
Portland, OR 97202-4715
Phone (844) 504-0402
National Provider Directory
National Provider DirectoryLocations
4784 SE 17th Ave
Ste 125
Portland, OR 97202
Phone (844) 504-0402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1982438362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4784 SE 17TH AVE STE 125",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024715",
"telephone_number": "844-504-0402",
"fax_number": "503-296-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4784 SE 17TH AVE STE 125",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972024715",
"telephone_number": "844-504-0402",
"fax_number": "503-296-5806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPERIO HEALTH MEDICAL GROUP, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-28",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "MANAGING OWNER",
"authorized_official_telephone_number": "503-931-1114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.