1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Clinic Center
  6. NPI Profile

PORTLAND AVENUE FAMILY CLINIC
NPI 1922139534
Clinic/Center - Primary Care in Tacoma, WA

Active since March 07, 2007
4314 E PORTLAND AVE, SUITE7, TACOMA, WA 98404(253) 476-9121(253) 476-8942 Get Directions Write a Review

NPPES record last updated: March 5, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Portland Avenue Family Clinic NPPES

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

PORTLAND AVENUE FAMILY CLINIC (NPI 1922139534) is a healthcare organization registered as a primary care in Tacoma, Washington and active in the NPI registry since March 2007. The organization lists Poly Leng, Manager, as its authorized official.

NPPES Registry Identity

NPI1922139534
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePORTLAND AVENUE CLINIC MANAGEMENT
Location Address4314 E PORTLAND AVE, SUITE7Tacoma, WA 98404-4696
Mailing Address4314 E Portland Ave, Suite7Tacoma, WA 98404-4696 · (253) 476-9121 · Fax (253) 476-8942
Phone(253) 476-9121
Fax(253) 476-8942
Organization SubpartNo
Authorized OfficialPoly LengManager · (253) 476-9121
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 5, 2013
✔ NPI 1922139534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4314 E PORTLAND AVE, Tacoma, WA 98404
Open in Google Maps ↗

Other Names 1

Doing Business AsPortland Avenue Family Clinic

Other Identifiers 2

Medicare ID-Type UnspecifiedGAB24363WA
Medicaid7084163WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 Portland Avenue Clinic Management's NPI number?

The NPI number for Portland Avenue Clinic Management is 1922139534. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Portland Avenue Family Clinic.

Where is Portland Avenue Clinic Management located?

Portland Avenue Clinic Management is located at 4314 E Portland Ave Suite7, Tacoma, WA 98404. The listed phone number is (253) 476-9121.

What is Portland Avenue Clinic Management's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Portland Avenue Clinic Management accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Portland Avenue Clinic Management 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 Portland Avenue Clinic Management was last updated on March 5, 2013. 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.