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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BAYBERRY CLINIC LLC
NPI 1942111901
Family Medicine in Portland, OR

Active since September 16, 2026
4115 N MISSISSIPPI AVE, PORTLAND, OR 97217(503) 749-5959(503) 974-3959 Get Directions Write a Review

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Bayberry Clinic Llc NPPES

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

BAYBERRY CLINIC LLC (NPI 1942111901) is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since September 2026. The organization lists Andrew Chang, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1942111901
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBAYBERRY CLINIC LLC
Location Address4115 N MISSISSIPPI AVEPortland, OR 97217-3130
Mailing Address4115 N Mississippi AvePortland, OR 97217-3130 · (503) 749-5959 · Fax (503) 974-3959
Phone(503) 749-5959
Fax(503) 974-3959
Organization SubpartNo
Authorized OfficialAndrew ChangPhysician Owner · (619) 931-3333
Enumeration DateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1942111901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4115 N MISSISSIPPI AVE, Portland, OR 97217
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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 4

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

SACRED VESSEL NATURAL MEDICINE
Clinic/Center (Primary Care)
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217
Multnomah County (503) 459-2584
DR. LUCY-KATE LORRAINE REEVE N.D.
Naturopath
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217
Multnomah County (503) 459-2584
SOUTHERN WIND ACUPUNCTURE
Acupuncturist
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217
Multnomah County (858) 354-5039
THE EQUI INSTITUTE
Prevention Professional
4115 N MISSISSIPPI AVE
PORTLAND, OR 97217
Multnomah County (503) 459-2584

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 Bayberry Clinic LLC's NPI number?

The NPI number for Bayberry Clinic LLC is 1942111901. It was assigned to this organization in the NPPES registry on September 16, 2026.

Where is Bayberry Clinic LLC located?

Bayberry Clinic LLC is located at 4115 N Mississippi Ave, Portland, OR 97217. The listed phone number is (503) 749-5959.

What is Bayberry Clinic LLC'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 Bayberry Clinic LLC was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.