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ROBERTS STREET CLINIC, P.C.
NPI 1003024423
Family Medicine in Gresham, OR

Active since May 18, 2007
400 NE ROBERTS AVE, GRESHAM, OR 97030(503) 669-3066(503) 665-6404 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roberts Street Clinic, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERTS STREET CLINIC, P.C. (NPI 1003024423) is a healthcare organization registered as a family medicine in Gresham, Oregon and active in the NPI registry since May 2007. The organization lists Linda Mankey, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1003024423
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROBERTS STREET CLINIC, P.C.
Location Address400 NE ROBERTS AVEGresham, OR 97030-7464
Mailing Address400 Ne Roberts AveGresham, OR 97030-7464 · (503) 669-3066 · Fax (503) 665-6404
Phone(503) 669-3066
Fax(503) 665-6404
Organization SubpartNo
Authorized OfficialLinda MankeyClinic Manager · (503) 669-3066
Enumeration DateMay 18, 2007
Last NPPES UpdateOctober 10, 2007
✔ NPI 1003024423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · DO18839✔ Licensed in OR · DO15150✔ Licensed in OR · DO21884
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD17149 (OR)
400 NE ROBERTS AVE, Gresham, OR 97030
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Other Identifiers 14

Medicare ID-Type Unspecified08WFBBRAOR
Medicare ID-Type Unspecified011WFBBRAOR
Medicaid287698OR
Medicaid205823OR
Medicare UPIND80358OR
Medicare UPINH34118OR
Medicaid079546OR
Medicare UPING23129OR
Medicaid287658OR
Medicare ID-Type Unspecified109162OR
Medicare ID-Type Unspecified0000WFBBROR
Medicaid029582OR
Medicare UPINE96441OR
Medicare ID-Type Unspecified118823OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GORDON PAUL CANZLER D.O.
Family Medicine
400 NE ROBERTS AVE
GRESHAM, OR 97030
Multnomah County (503) 665-9144
TONI LORAINE HERO D.O.
Family Medicine
400 NE ROBERTS AVE
GRESHAM, OR 97030
Multnomah County (503) 665-9144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roberts Street Clinic, P.C.'s NPI number?

The NPI number for Roberts Street Clinic, P.C. is 1003024423. It was assigned to this organization in the NPPES registry on May 18, 2007.

Where is Roberts Street Clinic, P.C. located?

Roberts Street Clinic, P.C. is located at 400 NE Roberts Ave, Gresham, OR 97030. The listed phone number is (503) 669-3066.

What is Roberts Street Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Roberts Street Clinic, P.C. was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.