1. Home
  2. Directory
  3. Oregon
  4. Canby
  5. Clinic Center
  6. NPI Profile

CANBY HEALTHCARE CLINIC LLC
NPI 1083915508
Clinic/Center - Primary Care in Canby, OR

Active since November 15, 2010CLIA 38D0880566 · Microscopy
703 SE 1ST AVE, CANBY, OR 97013(503) 266-7686(503) 266-7382 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Canby Healthcare Clinic Llc NPPES

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

CANBY HEALTHCARE CLINIC LLC (NPI 1083915508) is a healthcare organization registered as a primary care in Canby, Oregon and active in the NPI registry since November 2010. The organization holds a CLIA Microscopy certificate valid through February 22, 2027 and lists Karen Elizabeth Shaw, Staff Adult Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1083915508
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANBY HEALTHCARE CLINIC LLC
Location Address703 SE 1ST AVECanby, OR 97013-3849
Mailing Address18320 S Walker RdOregon City, OR 97045-9326 · (503) 631-3420
Phone(503) 266-7686
Fax(503) 266-7382
Organization SubpartNo
Authorized OfficialKaren Elizabeth ShawStaff Adult Nurse Practitioner · (503) 266-7686
Enumeration DateNovember 15, 2010
✔ NPI 1083915508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · 085074804
703 SE 1ST AVE, Canby, OR 97013
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINR152669OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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) 38D0880566

Canby Healthcare Clinic Laboratory · Canby, OR
Active · expires Feb 22, 2027
CLIA Number38D0880566
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorJohn M. Richards Np
Laboratory Phone(503) 266-7686
Laboratory LocationCanby Healthcare Clinic Laboratory703 SE 1st Ave, Canby, OR 97013
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.

Other Providers at the Same Location NPPES 6

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

MR. JOHN MICHAEL RICHARDS N.P.
Nurse Practitioner (Adult Health)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
CANBY HEALTHCARE CLINIC LLC
Clinic/Center (Rural Health)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
ABIGAIL NELSON FNP-C
Nurse Practitioner (Family)
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
MARY RENNEBOHM
Counselor
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
JONATHAN ELDREDGE
Behavior Technician
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686
LAURA OBIORA
Family Medicine
703 SE 1ST AVE
CANBY, OR 97013
Clackamas County (503) 266-7686

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 Canby Healthcare Clinic LLC's NPI number?

The NPI number for Canby Healthcare Clinic LLC is 1083915508. It was assigned to this organization in the NPPES registry on November 15, 2010.

Where is Canby Healthcare Clinic LLC located?

Canby Healthcare Clinic LLC is located at 703 SE 1st Ave, Canby, OR 97013. The listed phone number is (503) 266-7686.

What is Canby Healthcare Clinic LLC's specialty?

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

Does Canby Healthcare Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0880566) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Canby Healthcare Clinic LLC accept?

Health plans from Providence Health Plan list Canby Healthcare 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 Canby Healthcare Clinic LLC was last updated on November 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.