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PENDLETON FAMILY PRACTICE AND SPORTS MEDICINE LLC
NPI 1225538796
Clinic/Center - Primary Care in Pendleton, OR

Active since February 20, 2018
202 SE DORION AVE, PENDLETON, OR 97801(541) 966-8384(541) 966-8387 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018, Feb 20, 2018 (3 updates tracked since 2018).

About Pendleton Family Practice And Sports Medicine Llc NPPES

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

PENDLETON FAMILY PRACTICE AND SPORTS MEDICINE LLC (NPI 1225538796), doing business as Dr. Kent R. Walker, D.o., is a healthcare organization registered as a primary care in Pendleton, Oregon and active in the NPI registry since February 2018. The organization lists Darla Linker, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225538796
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePENDLETON FAMILY PRACTICE AND SPORTS MEDICINE LLC
Location Address202 SE DORION AVEPendleton, OR 97801-2576
Mailing Address202 Se Dorion AvePendleton, OR 97801-2576 · (541) 966-8384 · Fax (541) 966-8387
Phone(541) 966-8384
Fax(541) 966-8387
Organization SubpartNo
Authorized OfficialDarla LinkerOffice Manager · (541) 966-8384
Enumeration DateFebruary 20, 2018
Last NPPES UpdateJune 11, 20193 updates tracked since enumeration
✔ NPI 1225538796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · DO20295
Also ListedClinic/CenterTaxonomy 261Q00000X · License DO20295 (OR)
202 SE DORION AVE, Pendleton, OR 97801
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Other Names 1

Former Legal Business NameDr. Kent R. Walker, D.o.

Other Identifiers 1

Medicaid150117OR

Other Providers at the Same Location NPPES

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

MARY A. JOHNSON PH.D., LPC
Counselor (Professional)
202 SE DORION AVE, SUITE 103
PENDLETON, OR 97801
Umatilla County (541) 276-2471

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 Pendleton Family Practice And Sports Medicine LLC's NPI number?

The NPI number for Pendleton Family Practice And Sports Medicine LLC is 1225538796. It was assigned to this organization in the NPPES registry on February 20, 2018. The provider was formerly known as Dr. Kent R. Walker, D.O..

Where is Pendleton Family Practice And Sports Medicine LLC located?

Pendleton Family Practice And Sports Medicine LLC is located at 202 SE Dorion Ave, Pendleton, OR 97801. The listed phone number is (541) 966-8384.

What is Pendleton Family Practice And Sports Medicine LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Pendleton Family Practice And Sports Medicine LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.