ROGUE RIVER FAMILY PRACTICE CLINIC PC
NPI 1477613529
Family Medicine in Rogue River, OR

Q: What is Rogue River Family Practice Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 11, 2006CLIA 38D0628064 · Microscopy

509 E MAIN STREET, ROGUE RIVER, OR 97537(541) 582-0505(541) 582-0778 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Rogue River Family Practice Clinic Pc NPPES

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

ROGUE RIVER FAMILY PRACTICE CLINIC PC (NPI 1477613529) is a healthcare organization registered as a family medicine in Rogue River, Oregon and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through December 31, 2027 and lists Edmund H Glovinsky, Partner, as its authorized official.

NPPES Registry Identity

NPI1477613529

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameROGUE RIVER FAMILY PRACTICE CLINIC PC

Location Address509 E MAIN STREETRogue River, OR 97537-9674

Mailing AddressPo Box 1020Rogue River, OR 97537-9674 · (541) 582-0505 · Fax (541) 582-0778

Phone(541) 582-0505

Fax(541) 582-0778

Organization SubpartNo

Authorized OfficialEdmund H GlovinskyPartner · (541) 582-0505

Enumeration DateDecember 11, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1477613529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

509 E MAIN STREET, Rogue River, OR 97537

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Other Identifiers 1

Medicaid113597OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 38D0628064

Rogue River Family Practice Laboratory · Rogue River, OR

Active · expires Dec 31, 2027

CLIA Number38D0628064

Laboratory TypePhysician Office

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorBrian J. Mateja Do

Laboratory Phone(541) 582-0505

Laboratory LocationRogue River Family Practice Laboratory509 East Main Street PO Box 1020, Rogue River, OR 97537

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Rogue River Family Practice Clinic PC's NPI number?

The NPI number for Rogue River Family Practice Clinic PC is 1477613529. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Rogue River Family Practice Clinic PC located?

Rogue River Family Practice Clinic PC is located at 509 E Main Street, Rogue River, OR 97537. The listed phone number is (541) 582-0505.

What is Rogue River Family Practice Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rogue River Family Practice Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0628064) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rogue River Family Practice Clinic PC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Rogue River Family Practice Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rogue River Family Practice Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.