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POPLAR HILL FAMILY PRACTICE
NPI 1831253673
Family Medicine in West Linn, OR

Active since December 19, 2006
22490 SW MOUNTAIN RD, WEST LINN, OR 97068(503) 638-8218(503) 638-9698 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Poplar Hill Family Practice NPPES

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

POPLAR HILL FAMILY PRACTICE (NPI 1831253673) is a healthcare organization registered as a family medicine in West Linn, Oregon and active in the NPI registry since December 2006. The organization lists Robert Bastian Wagner, President, as its authorized official.

NPPES Registry Identity

NPI1831253673
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOPLAR HILL FAMILY PRACTICE
Location Address22490 SW MOUNTAIN RDWest Linn, OR 97068-9619
Mailing Address22490 Sw Mountain RdWest Linn, OR 97068-9619 · (503) 638-8218 · Fax (503) 638-9698
Phone(503) 638-8218
Fax(503) 638-9698
Organization SubpartNo
Authorized OfficialRobert Bastian WagnerPresident · (503) 638-8218
Enumeration DateDecember 19, 2006
Last NPPES UpdateOctober 9, 2007
✔ NPI 1831253673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD08471
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.
22490 SW MOUNTAIN RD, West Linn, OR 97068
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Other Identifiers 2

Medicaid214510OR
Medicare PINR101874OR

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ROBERT BASTIAN WAGNER MD
Family Medicine
22490 SW MOUNTAIN RD
WEST LINN, OR 97068
Clackamas County (503) 638-8218

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 Poplar Hill Family Practice's NPI number?

The NPI number for Poplar Hill Family Practice is 1831253673. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Poplar Hill Family Practice located?

Poplar Hill Family Practice is located at 22490 SW Mountain Rd, West Linn, OR 97068. The listed phone number is (503) 638-8218.

What is Poplar Hill Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Poplar Hill Family Practice was last updated on October 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.