PENDLETON PRIMARY CARE CLINIC LLC
NPI 1013254432
Clinic/Center - Primary Care in Pendleton, OR

Active since January 04, 2013CLIA 38D2054591 · Microscopy
1100 SOUTHGATE STE 11, PENDLETON, OR 97801(541) 966-6916(541) 215-1405 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pendleton Primary Care Clinic Llc NPPES

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

PENDLETON PRIMARY CARE CLINIC LLC (NPI 1013254432) is a healthcare organization registered as a primary care in Pendleton, Oregon and active in the NPI registry since January 2013. The organization holds a CLIA Microscopy certificate valid through February 24, 2027 and lists Tami J Foster, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013254432
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePENDLETON PRIMARY CARE CLINIC LLC
Location Address1100 SOUTHGATE STE 11Pendleton, OR 97801-3973
Mailing Address1100 Southgate Ste 11Pendleton, OR 97801-3973 · (541) 966-6916 · Fax (541) 215-1405
Fax(541) 215-1405
Organization SubpartNo
Authorized OfficialTami J FosterOffice Manager · (541) 966-6916
Enumeration DateJanuary 4, 2013
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1013254432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1100 SOUTHGATE STE 11, Pendleton, OR 97801

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2054591

Pendleton Primary Care Clinic LLC · Pendleton, OR
Active · expires Feb 24, 2027
CLIA Number38D2054591
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorBruce D. Carlson
Laboratory Phone(541) 966-6916
Laboratory LocationPendleton Primary Care Clinic LLC1100 Southgate Ste 11, Pendleton, OR 97801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Pendleton Primary Care Clinic LLC's NPI number?

The NPI number for Pendleton Primary Care Clinic LLC is 1013254432. It was assigned to this organization in the NPPES registry on January 4, 2013.

Where is Pendleton Primary Care Clinic LLC located?

Pendleton Primary Care Clinic LLC is located at 1100 Southgate Ste 11, Pendleton, OR 97801. The listed phone number is (541) 966-6916.

What is Pendleton Primary Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pendleton Primary Care Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D2054591) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pendleton Primary Care Clinic LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Pendleton Primary Care Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pendleton Primary Care Clinic LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.