SOUTHWEST PORTLAND MEDICAL CLINIC INC
NPI 1245566843
Clinic/Center - Primary Care in Tacoma, WA

Active since November 02, 2009
3716 PACIFIC AVE STE D, TACOMA, WA 98418(253) 474-7719 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southwest Portland Medical Clinic Inc NPPES

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

SOUTHWEST PORTLAND MEDICAL CLINIC INC (NPI 1245566843) is a healthcare organization registered as a primary care in Tacoma, Washington and active in the NPI registry since November 2009. The organization lists Felino Bautista De Leon, President, as its authorized official.

NPPES Registry Identity

NPI1245566843
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHWEST PORTLAND MEDICAL CLINIC INC
Location Address3716 PACIFIC AVE STE DTacoma, WA 98418-7836
Mailing Address6097 156th Pl SeBellevue, WA 98006-5307 · (425) 785-6164
Organization SubpartNo
Authorized OfficialFelino Bautista De LeonPresident · (425) 306-9447
Enumeration DateNovember 2, 2009
NPI 1245566843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in WA · 00022250
3716 PACIFIC AVE STE D, Tacoma, WA 98418

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Primary Care)
3716 PACIFIC AVE STE D
TACOMA, WA 98418
Nurse Practitioner (Primary Care)
3716 PACIFIC AVE STE D
TACOMA, WA 98418

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 Southwest Portland Medical Clinic Inc's NPI number?

The NPI number for Southwest Portland Medical Clinic Inc is 1245566843. It was assigned to this organization in the NPPES registry on November 2, 2009.

Where is Southwest Portland Medical Clinic Inc located?

Southwest Portland Medical Clinic Inc is located at 3716 Pacific Ave Ste D, Tacoma, WA 98418. The listed phone number is (253) 474-7719.

What is Southwest Portland Medical Clinic Inc'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 Southwest Portland Medical Clinic Inc was last updated on November 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.