PORTLAND AVENUE FAMILY CLINIC
NPI 1922139534
Clinic/Center - Primary Care in Tacoma, WA
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
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Portland Avenue Family Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Portland Avenue Family Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Portland Avenue Clinic Management enrolled in Medicare?
Yes. Portland Avenue Clinic Management is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Portland Avenue Clinic Management?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Practice, reassign their Medicare billing to Portland Avenue Clinic Management. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Portland Avenue Family Clinic · NPI 1922139534
Primary Care organization in Tacoma, Washington. Organization record, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1922139534 (Entity type: Organization)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Portland Avenue Clinic Management
- **Organization subpart:** No
- **Authorized official:** Poly Leng, MANAGER
## Practice location
- **Address:** 4314 E PORTLAND AVE, SUITE7, Tacoma, WA 98404-4696
- **Phone:** (253) 476-9121 · **Fax:** (253) 476-8942
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (General Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2013
- **Other identifiers:** Medicare ID-Type Unspecified GAB24363 (WA); Medicaid 7084163 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1922139534) · Data from the CMS NPPES public registry.