Organization
GENERATIONS FAMILY MEDICINE, PROFESSIONAL CORPORATION
Active
Other names
Generations Family Medicine, P.C
Organization subpart
No
Provider details
NPI number
Authorized official
THANHLONG DUC PHAM MD (PHYSICIAN)
(503) 703-1500
Entity
Organization
Contact information
Practice address
8106 NE WASCO ST, PORTLAND, OR 97213-6737
(503) 255-8258
(503) 252-1668
Mailing address
8106 NE WASCO ST, PORTLAND, OR 97213-6737
(503) 255-8258
(503) 252-1668
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD28383
OR
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241669
—
OR
01
—
R142499
MEDICARE PROVIDER NUMBER
OR
Enumeration date
04/08/2013
Last updated
01/20/2026
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