Organization
BASIC FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN CLEVELAND (ADMINISTRATOR)
(541) 241-3071
Entity
Organization
Contact information
Practice address
16200 SW PACIFIC HWY STE H3013, TIGARD, OR 97224-4053
(541) 241-3071
(541) 241-8031
Mailing address
16200 SW PACIFIC HWY STE H3013, TIGARD, OR 97224-4053
(541) 241-3071
(541) 241-8031
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700049152
PROVIDER NPI
ID
Enumeration date
11/24/2015
Last updated
04/14/2026
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