POHALA CLINIC PC
NPI 1689025231
Nurse Practitioner - Family in Portland, OR

Q: What is Pohala Clinic PC's NPI number?

The NPI number for Pohala Clinic PC is 1689025231. It was assigned to this organization in the NPPES registry on June 24, 2016.

Q: What is Pohala Clinic PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Pohala Clinic PC was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 24, 2016

7477 SE 52ND AVE, PORTLAND, OR 97206(503) 572-4196(855) 420-5847 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 12, 2017, Jun 24, 2016 (2 updates tracked since 2016).

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About Pohala Clinic Pc NPPES

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

POHALA CLINIC PC (NPI 1689025231) is a healthcare organization registered as a family in Portland, Oregon and active in the NPI registry since June 2016. The organization lists Becky R Copenhagen, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689025231

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePOHALA CLINIC PC

Location Address7477 SE 52ND AVEPortland, OR 97206-8206

Mailing Address7477 Se 52nd AvePortland, OR 97206-8206 · (503) 572-4196 · Fax (855) 420-5847

Phone(503) 572-4196

Fax(855) 420-5847

Organization SubpartNo

Authorized OfficialBecky R CopenhagenOffice Manager · (503) 572-4196

Enumeration DateJune 24, 2016

Last NPPES UpdateMay 12, 20172 updates tracked since enumeration

✔ NPI 1689025231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OR · 200150144NP

Also ListedNaturopathTaxonomy 175F00000X

7477 SE 52ND AVE, Portland, OR 97206

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Other Identifiers 1

Medicare PINR154680OR

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 9

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

LEIGHANN PILKINGTON PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)