BEAVERTON FAMILY MEDICINE
NPI 1457604654
Clinic/Center - Primary Care in Beaverton, OR

Active since October 25, 2012
17200 NW CORRIDOR CT, SUITE 110, BEAVERTON, OR 97006(503) 213-3800(503) 747-5345 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaverton Family Medicine NPPES

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

BEAVERTON FAMILY MEDICINE (NPI 1457604654) is a healthcare organization registered as a primary care in Beaverton, Oregon and active in the NPI registry since October 2012. The organization lists Keith Haines, Manager, as its authorized official.

NPPES Registry Identity

NPI1457604654
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOREGON CITY MEDICAL
Location Address17200 NW CORRIDOR CT, SUITE 110Beaverton, OR 97006-3295
Mailing Address17200 Nw Corridor Ct, Suite 110Beaverton, OR 97006-3295 · (503) 213-3800 · Fax (503) 747-5345
Fax(503) 747-5345
Organization SubpartNo
Authorized OfficialKeith HainesManager · (503) 213-3800
Enumeration DateOctober 25, 2012
NPI 1457604654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
17200 NW CORRIDOR CT, Beaverton, OR 97006

Other Names 1

Other NameBeaverton Family Medicine

Other Providers at the Same Location NPPES 12

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

Chiropractor
17200 NW CORRIDOR CT, SUITE 100
BEAVERTON, OR 97006
Family Medicine
17200 NW CORRIDOR CT, STE 105
BEAVERTON, OR 97006
Non-Pharmacy Dispensing Site
17200 NW CORRIDOR CT, SUITE 110
BEAVERTON, OR 97006
Chiropractor
17200 NW CORRIDOR CT, SUITE 100
BEAVERTON, OR 97006
Family Medicine
17200 NW CORRIDOR CT, SUITE 110
BEAVERTON, OR 97006
Massage Therapist
17200 NW CORRIDOR CT, SUITE 100
BEAVERTON, OR 97006
Acupuncturist
17200 NW CORRIDOR CT, SUITE 100
BEAVERTON, OR 97006
Family Medicine
17200 NW CORRIDOR CT, SUITE 105
BEAVERTON, OR 97006

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 Oregon City Medical's NPI number?

The NPI number for Oregon City Medical is 1457604654. It was assigned to this organization in the NPPES registry on October 25, 2012. The provider is also known as Beaverton Family Medicine.

Where is Oregon City Medical located?

Oregon City Medical is located at 17200 NW Corridor Ct Suite 110, Beaverton, OR 97006. The listed phone number is (503) 213-3800.

What is Oregon City Medical'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 Oregon City Medical was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.