AT HOME PRIMARY CARE LLC.
NPI 1427447143
Nurse Practitioner in Portland, OR

Active since January 19, 2015
6400 SE LAKE RD # 420, PORTLAND, OR 97222(503) 344-6717 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About At Home Primary Care Llc. NPPES

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

AT HOME PRIMARY CARE LLC. (NPI 1427447143) is a healthcare organization registered as a nurse practitioner in Portland, Oregon and active in the NPI registry since January 2015. The organization lists Suzie Annette Davis, Manager, as its authorized official.

NPPES Registry Identity

NPI1427447143
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameAT HOME PRIMARY CARE LLC.
Location Address6400 SE LAKE RD # 420Portland, OR 97222-2129
Mailing Address6400 Se Lake Rd # 420Portland, OR 97222-2129 · (503) 344-6717
Organization SubpartNo
Authorized OfficialSuzie Annette DavisManager · (503) 344-6717
Enumeration DateJanuary 19, 2015
Last NPPES UpdateFebruary 12, 2015
NPI 1427447143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6400 SE LAKE RD # 420, Portland, OR 97222

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 At Home Primary Care LLC.'s NPI number?

The NPI number for At Home Primary Care LLC. is 1427447143. It was assigned to this organization in the NPPES registry on January 19, 2015.

Where is At Home Primary Care LLC. located?

At Home Primary Care LLC. is located at 6400 SE Lake Rd # 420, Portland, OR 97222. The listed phone number is (503) 344-6717.

What is At Home Primary Care LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for At Home Primary Care LLC. was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.