THE PORTLAND CLINIC LLP
NPI 1558379099
Internal Medicine in Portland, OR
NPI Status: Active since August 03, 2006
Contact Information
800 SW 13TH AVE
PORTLAND, OR
ZIP 97205
Phone: (503) 221-0161
Fax: (503) 221-4451
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 38D0623515
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-11-2026
About THE PORTLAND CLINIC LLP
This page provides the complete NPI Profile along with additional information for The Portland Clinic Llp, an internist established in Portland, Oregon operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1558379099 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The Portland Clinic Llp operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is The Portland Clinic Llp. The authorized official of this NPI record is Amy L Mulcaster Do (Cmo)
- NPI
- 1558379099
- Provider Legal Name
- PORTLAND CLINIC
- Other Organization Name
- THE PORTLAND CLINIC LLP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 800 SW 13TH AVE PORTLAND, OR 97205
- Location Phone
- (503) 221-0161
- Location Fax
- (503) 221-4451
- Mailing Address
- 800 SW 13TH AVE PORTLAND, OR 97205
- Mailing Phone
- (503) 221-0161
- Mailing Fax
- (503) 221-4451
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-03-2006
- Last Update Date
- 04-30-2024
- Code Navigator
An internist like The Portland Clinic Llp is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | |
| 2 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 4 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 7 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 8 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 9 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 10 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 11 | 2086S0129X | Allopathic & Osteopathic Physicians | Surgery | |
| 12 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 13 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 14 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Gold Plan Legacy - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D0623515
- Facility Type
- Physician Office
- Certificate Effective Date
- December 12, 2024
- Certificate Expiration Date
- December 11, 2026
- Laboratory Director
- DR. RAYMOND C. HARRY
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to The Portland Clinic Llp after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558379099, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PORTLAND, OR 97205
PORTLAND, OR 97205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558379099, enumerated as an "organization" on August 03, 2006.
The provider is located at 800 SW 13TH AVE PORTLAND, OR 97205 and the phone number is (503) 221-0161.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, BridgeSpan. Please consult your insurance carrier or call the provider to verify.
