DTNA - PORTLAND OCC
NPI 1134895410
Clinic/Center - Multi-Specialty in Portland, OR

Q: What is Premise Health Of Oregon Medical P C's NPI number?

The NPI number for Premise Health Of Oregon Medical P C is 1134895410. It was assigned to this organization in the NPPES registry on August 18, 2021. The provider is doing business as Dtna - Portland Occ.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 18, 2021

6936 N FATHOM ST, PORTLAND, OR 97217(971) 717-6307(971) 717-6492 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Oct 14, 2021, Aug 18, 2021 (3 updates tracked since 2021).

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About Dtna - Portland Occ NPPES

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

DTNA - PORTLAND OCC (NPI 1134895410) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since August 2021. The organization lists Jonathan Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1134895410

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF OREGON MEDICAL P C

Location Address6936 N FATHOM STPortland, OR 97217-3928

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(971) 717-6307

Fax(971) 717-6492

Organization SubpartNo

Authorized OfficialJonathan LeizmanPresident · (216) 479-9063

Enumeration DateAugust 18, 2021

Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration

NPPES CertifiedOctober 13, 2022

✔ NPI 1134895410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

6936 N FATHOM ST, Portland, OR 97217

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Other Names 1

Doing Business AsDtna - Portland Occ

Other Providers at the Same Location NPPES

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

BRIAN TOOGOOD

Physical Therapist

6936 N FATHOM ST
PORTLAND, OR 97217

Multnomah County (503) 680-3627

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 1134895410. It was assigned to this organization in the NPPES registry on August 18, 2021. The provider is doing business as Dtna - Portland Occ.

Where is Premise Health Of Oregon Medical P C located?

Premise Health Of Oregon Medical P C is located at 6936 N Fathom St, Portland, OR 97217. The listed phone number is (971) 717-6307.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Oregon Medical P C was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.