PREMISE HEALTH OF OREGON MEDICAL PC
NPI 1619286044
Clinic/Center - Primary Care in Hillsboro, OR

Active since October 04, 2010CLIA 38D1095900 · Waiver
2111 NE 25TH AVENUE, HILLSBORO, OR 97124(503) 264-8315(503) 712-4523 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 13, 2022, May 20, 2022, Feb 24, 2022 (3 updates tracked since 2022).

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 1619286044), doing business as Intel Health For Life Center-25th Ave Hillsboro, is a healthcare organization registered as a primary care in Hillsboro, Oregon and active in the NPI registry since October 2010. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1619286044
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF OREGON MEDICAL PC
Location Address2111 NE 25TH AVENUEHillsboro, OR 97124-5961
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993 · (615) 468-3188 · Fax (615) 468-3188
Fax(503) 712-4523
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateOctober 4, 2010
Last NPPES UpdateFebruary 12, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1619286044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2111 NE 25TH AVENUE, Hillsboro, OR 97124

Other Names 1

Doing Business AsIntel Health For Life Center-25th Ave Hillsboro

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 38D1095900

Premise Health Of Oregon Medical, PC · Hillsboro, OR
Active · expires Feb 18, 2027
CLIA Number38D1095900
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorAdam Frederick
Laboratory Phone(503) 264-8315
Laboratory LocationPremise Health Of Oregon Medical, PC2111 NE 25th Avenue, Hillsboro, OR 97124
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 1619286044. It was assigned to this organization in the NPPES registry on October 4, 2010. The provider is doing business as Intel Health for Life Center-25th Ave Hillsboro.

Where is Premise Health Of Oregon Medical PC located?

Premise Health Of Oregon Medical PC is located at 2111 NE 25th Avenue, Hillsboro, OR 97124. The listed phone number is (503) 264-8315.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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

Yes. A Certificate of Waiver (number 38D1095900) is associated with this NPI, valid through February 18, 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 12, 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.