Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NORTHWEST PRIMARY CARE GROUP PC
Active
Organization
NORTHWEST PRIMARY CARE GROUP PC
Active
Other names
Northwest Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WHITBECK (ADMINISTRATOR)
(503) 659-4777
Entity
Organization
Contact information
Practice address
12119 SE STEVENS CT, PORTLAND, OR 97266-8620
(503) 353-1278
(503) 353-1273
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
07/21/2006
Last updated
06/03/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers