HOLY FAMILY CATHOLIC CLINIC, P.S.
NPI 1619588175
Family Medicine in West Linn, OR
About Holy Family Catholic Clinic, P.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLY FAMILY CATHOLIC CLINIC, P.S. (NPI 1619588175) is a healthcare organization registered as a family medicine in West Linn, Oregon and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 18, 2028 and lists Jessica Jose, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holy Family Catholic Clinic, P.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Holy Family Catholic Clinic, P.S., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 38D2190855
Holy Family Catholic Clinic · West Linn, ORFrequently 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 Holy Family Catholic Clinic, P.S.'s NPI number?
The NPI number for Holy Family Catholic Clinic, P.S. is 1619588175. It was assigned to this organization in the NPPES registry on August 10, 2020.
Where is Holy Family Catholic Clinic, P.S. located?
Holy Family Catholic Clinic, P.S. is located at 21810 Willamette Dr, West Linn, OR 97068. The listed phone number is (503) 994-4353.
What is Holy Family Catholic Clinic, P.S.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Holy Family Catholic Clinic, P.S. enrolled in Medicare?
Yes. Holy Family Catholic Clinic, P.S. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holy Family Catholic Clinic, P.S.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Holy Family Catholic Clinic, P.S., in Clinical Psychologist and Internal Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Holy Family Catholic Clinic, P.S. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2190855) is associated with this NPI, valid through August 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Holy Family Catholic Clinic, P.S. accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Holy Family Catholic Clinic, P.S. 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 Holy Family Catholic Clinic, P.S. was last updated on August 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Holy Family Catholic Clinic, P.s. · NPI 1619588175
Family Medicine organization in West Linn, Oregon. Organization record, active in the CMS NPPES registry since August 10, 2020.
## Identity
- **NPI:** 1619588175 (Entity type: Organization)
- **Enumerated:** August 10, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jessica Jose, BUSINESS MANAGER
## Practice location
- **Address:** 21810 WILLAMETTE DR, West Linn, OR 97068-3256
- **Phone:** (503) 994-4353
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Clinical Psychologist (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619588175) · Data from the CMS NPPES public registry.