1. Home
  2. Directory
  3. Oregon
  4. West Linn
  5. Family Medicine
  6. NPI Profile

HOLY FAMILY CATHOLIC CLINIC, P.S.
NPI 1619588175
Family Medicine in West Linn, OR

Active since August 10, 2020CLIA 38D2190855 · Waiver
21810 WILLAMETTE DR, WEST LINN, OR 97068(503) 994-4353 Get Directions Write a Review

NPPES record last updated: August 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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, 2026 and lists Jessica Jose, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1619588175
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLY FAMILY CATHOLIC CLINIC, P.S.
Location Address21810 WILLAMETTE DRWest Linn, OR 97068-3256
Mailing Address21810 Willamette DrWest Linn, OR 97068-3256 · (503) 994-4353
Phone(503) 994-4353
Organization SubpartNo
Authorized OfficialJessica JoseBusiness Manager · (503) 994-4353
Enumeration DateAugust 10, 2020
NPPES CertifiedAugust 10, 2020
✔ NPI 1619588175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
21810 WILLAMETTE DR, West Linn, OR 97068
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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 of Waiver 38D2190855

Holy Family Catholic Clinic · West Linn, OR
Active · expires Aug 18, 2026
CLIA Number38D2190855
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorMichael G. Sherman
Laboratory Phone(503) 994-4353
Laboratory LocationHoly Family Catholic Clinic21810 Willamette Drive, Ste 200, West Linn, OR 97068
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

CLUNES CORPORATION
Clinic/Center (Primary Care)
21810 WILLAMETTE DR
WEST LINN, OR 97068
Clackamas County (503) 656-0362
VIRGINIA VILLEGAS SANMIGUEL M.D.
Obstetrics & Gynecology
21810 WILLAMETTE DR
WEST LINN, OR 97068
Clackamas County (503) 656-6603
RANDALL CHANEY COLEMAN M.D.
Obstetrics & Gynecology
21810 WILLAMETTE DR
WEST LINN, OR 97068
Clackamas County (503) 656-6603
VIRGINIA SAN MIGUEL MD PC
Clinic/Center (Medical Specialty)
21810 WILLAMETTE DR
WEST LINN, OR 97068
Clackamas County (503) 656-8072
ROBERT S PC
Radiology (Diagnostic Radiology)
21810 WILLAMETTE DR
WEST LINN, OR 97068
Clackamas County (503) 579-5000

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 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.

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, 2026. 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.