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PREMISE HEALTH OF OREGON MEDICAL P C
NPI 1093126385
Clinic/Center - Primary Care in Lebanon, OR

Active since May 08, 2014CLIA Certified · 3 labs
1001 REEVES PKWY, LEBANON, OR 97355(541) 258-0221(541) 981-5187 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Oct 13, 2022, Aug 12, 2021 and 1 more (4 updates tracked since 2020).

About Premise Health Of Oregon Medical P C NPPES

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

PREMISE HEALTH OF OREGON MEDICAL P C (NPI 1093126385), doing business as My Health Center At Lowe's Lebanon, is a healthcare organization registered as a primary care in Lebanon, Oregon and active in the NPI registry since May 2014. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Portland, and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1093126385
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF OREGON MEDICAL P C
Location Address1001 REEVES PKWYLebanon, OR 97355-7001
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Phone(541) 258-0221
Fax(541) 981-5187
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateMay 8, 2014
Last NPPES UpdateFebruary 2, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1093126385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1001 REEVES PKWY, Lebanon, OR 97355
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Other Names 1

Doing Business AsMy Health Center At Lowe's Lebanon

Secondary Practice Location 1

Location 16936 N Fathom StPortland, OR 97217-3928 · Phone (503) 745-7138 · Fax (503) 745-6243

CLIA Laboratory Certificates CMS CLIA 3

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 of Waiver 38D1082439

Premise Health Of Oregon Medical, PC · Lebanon, OR
Active · expires Apr 8, 2028
CLIA Number38D1082439
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2026
Certificate Expiration DateApril 8, 2028
Laboratory DirectorNancy Snow
Laboratory Phone(541) 258-0221
Laboratory LocationPremise Health Of Oregon Medical, PC1001 Reeves Parkway, Lebanon, OR 97355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2058805

Premise Health Of Oregon Medical, PC · Portland, OR
Active · expires Jun 2, 2027
CLIA Number38D2058805
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorLisa Newton-Klucevek
Laboratory Phone(503) 745-7138
Laboratory LocationPremise Health Of Oregon Medical, PC6936 N Fathom Street, Portland, OR 97217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 38D2112287

Premise Health Of Oregon Medical, PC · Portland, OR
Active · expires Apr 25, 2028
CLIA Number38D2112287
Laboratory TypePhysician Office
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorLisa Newton-Klucevek
Laboratory Phone(971) 239-5696
Laboratory LocationPremise Health Of Oregon Medical, PC4709 N Lagoon Ave, Portland, OR 97217
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Premise Health Of Oregon Medical P C's NPI number?

The NPI number for Premise Health Of Oregon Medical P C is 1093126385. It was assigned to this organization in the NPPES registry on May 8, 2014. The provider is doing business as My Health Center At Lowe's Lebanon.

Where is Premise Health Of Oregon Medical P C located?

Premise Health Of Oregon Medical P C is located at 1001 Reeves Pkwy, Lebanon, OR 97355. The listed phone number is (541) 258-0221.

What is Premise Health Of Oregon Medical P C's specialty?

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

Does Premise Health Of Oregon Medical P C hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Premise Health Of Oregon Medical P C was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.