GRESHAM-TROUTDALE FAMILY MEDICAL CENTER
NPI 1750581062
Non-Pharmacy Dispensing Site in Troutdale, OR

Q: What is Gresham-Troutdale Family Medical Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since July 24, 2007

1700 SW 27TH AVE, TROUTDALE, OR 97060(503) 669-6800 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gresham-troutdale Family Medical Center NPPES

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

GRESHAM-TROUTDALE FAMILY MEDICAL CENTER (NPI 1750581062) is a healthcare organization registered as a non-pharmacy dispensing site in Troutdale, Oregon and active in the NPI registry since July 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1750581062

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameGRESHAM-TROUTDALE FAMILY MEDICAL CENTER

Location Address1700 SW 27TH AVETroutdale, OR 97060

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(503) 669-6800

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990

Enumeration DateJuly 24, 2007

Last NPPES UpdateOctober 22, 2012

✔ NPI 1750581062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in OR · MD10780

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1700 SW 27TH AVE, Troutdale, OR 97060

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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 Gresham-Troutdale Family Medical Center's NPI number?

The NPI number for Gresham-Troutdale Family Medical Center is 1750581062. It was assigned to this organization in the NPPES registry on July 24, 2007.

Where is Gresham-Troutdale Family Medical Center located?

Gresham-Troutdale Family Medical Center is located at 1700 SW 27th Ave, Troutdale, OR 97060. The listed phone number is (503) 669-6800.

What is Gresham-Troutdale Family Medical Center's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Gresham-Troutdale Family Medical Center was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.