Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HENRY R RIVAS MD
NPI 1194780353
Family Medicine in Portland, OR

Q: What is Henry Rivas's NPI number?

The NPI number for Henry Rivas is 1194780353. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Henry Rivas's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Henry Rivas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.

Active since April 19, 2006

11510 SE STARK ST, PORTLAND, OR 97216(503) 256-0636(503) 408-7034 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Henry R Rivas Md NPPES

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

HENRY R RIVAS MD (NPI 1194780353) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD14654) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1194780353

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameHENRY R RIVASCredential: MD

Location Address11510 SE STARK STPortland, OR 97216-3356

Mailing AddressPo Box 92900Portland, OR 97292-0900

Phone(503) 256-0636

Fax(503) 408-7034

Sole ProprietorNo

Enumeration DateApril 19, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1194780353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD14654

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.

11510 SE STARK ST, Portland, OR 97216

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Other Identifiers 2

Medicaid8308934WA

Medicaid176750OR

Other Providers at the Same Location NPPES 3

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

MYKOLA NIKOLAIEV LMT

Massage Therapist

11510 SE STARK ST
PORTLAND, OR 97216

Multnomah County (503) 261-8121

ARTHUR RANDOLPH BULGER MD

Family Medicine

11510 SE STARK ST
PORTLAND, OR 97216

Multnomah County (503) 256-0636

ROBERTA ANNE BULGER MD

Family Medicine

11510 SE STARK ST
PORTLAND, OR 97216

Multnomah County (503) 256-0636

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 Henry Rivas's NPI number?

The NPI number for Henry Rivas is 1194780353. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Henry Rivas located?

Henry Rivas practices at 11510 SE Stark St, Portland, OR 97216. The listed phone number is (503) 256-0636.

What is Henry Rivas'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 Henry Rivas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.