PREMISE HEALTH OF OREGON MEDICAL PC
NPI 1457026056
Clinic/Center - Multi-Specialty in Fairview, OR

Active since August 16, 2021CLIA 38D2070925 · Waiver
4000 NE BLUE LAKE RD, FAIRVIEW, OR 97024(503) 721-6040(256) 883-3674 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Oct 13, 2022, Aug 16, 2021 (3 updates tracked since 2021).

About Premise Health Of Oregon Medical Pc NPPES

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

PREMISE HEALTH OF OREGON MEDICAL PC (NPI 1457026056), doing business as Hyster Yale - Portland, is a healthcare organization registered as a multi-specialty in Fairview, Oregon and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1457026056
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF OREGON MEDICAL PC
Location Address4000 NE BLUE LAKE RDFairview, OR 97024-8710
Mailing Address5500 Maryland WayBrentwood, TN 37027-7048
Fax(256) 883-3674
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateAugust 16, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1457026056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
4000 NE BLUE LAKE RD, Fairview, OR 97024

Other Names 1

Doing Business AsHyster Yale - Portland

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 38D2070925

Premise Health Of Oregon Medical, PC · Fairview, OR
Active · expires Dec 29, 2027
CLIA Number38D2070925
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorSiatta Dunbar
Laboratory Phone(503) 721-6040
Laboratory LocationPremise Health Of Oregon Medical, PC4000 NE Blue Lake Road, Fairview, OR 97024
CLIA data matches this NPI record on: Address Name 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 Premise Health Of Oregon Medical PC's NPI number?

The NPI number for Premise Health Of Oregon Medical PC is 1457026056. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as Hyster Yale - Portland.

Where is Premise Health Of Oregon Medical PC located?

Premise Health Of Oregon Medical PC is located at 4000 NE Blue Lake Rd, Fairview, OR 97024. The listed phone number is (503) 721-6040.

What is Premise Health Of Oregon Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Oregon Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2070925) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Oregon Medical PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.