EXPRESS CARE OR PC
NPI 1205499126
General Practice in Portland, OR

Active since April 16, 2019CLIA 27D2167869 · Waiver
1025 NW 14TH AVE, PORTLAND, OR 97209(888) 327-3312 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2025, May 6, 2025, Oct 5, 2021 and 2 more (5 updates tracked since 2019).

About Express Care Or Pc NPPES

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

EXPRESS CARE OR PC (NPI 1205499126), doing business as Providence Express Care, is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1205499126
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameEXPRESS CARE OR PC
Location Address1025 NW 14TH AVEPortland, OR 97209-2705
Mailing AddressPo Box 3229Portland, OR 97208-3229 · (888) 227-3312 · Fax (425) 276-3215
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 16, 2019
Last NPPES UpdateJune 3, 20255 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1205499126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedClinic/CenterTaxonomy 261Q00000X
1025 NW 14TH AVE, Portland, OR 97209

Other Names 1

Doing Business AsProvidence Express Care

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 of Waiver 27D2167869

Express Care Southgate · Missoula, MT
Active · expires Jun 16, 2027
CLIA Number27D2167869
Laboratory TypeExpress Care
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorOlubanke Babalola
Laboratory Phone(888) 227-3312
Laboratory LocationExpress Care Southgate3624 Brooks Street, Ste 101, Missoula, MT 59801
CLIA data matches this NPI record on: Phone
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 Express Care Or PC's NPI number?

The NPI number for Express Care Or PC is 1205499126. It was assigned to this organization in the NPPES registry on April 16, 2019. The provider is doing business as Providence Express Care.

Where is Express Care Or PC located?

Express Care Or PC is located at 1025 NW 14th Ave, Portland, OR 97209. The listed phone number is (888) 327-3312.

What is Express Care Or PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Express Care Or PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2167869) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Express Care Or PC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Express Care Or PC 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 Express Care Or PC was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.