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DALLAS FAMILY MEDICINE LLC
NPI 1942292891
Specialist in Dallas, OR

Active since August 17, 2005
641 SE MILLER AVE, DALLAS, OR 97338(503) 623-2345(503) 623-6071 Get Directions Write a Review

NPPES record last updated: October 22, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dallas Family Medicine Llc NPPES

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

DALLAS FAMILY MEDICINE LLC (NPI 1942292891) is a healthcare organization registered as a specialist in Dallas, Oregon and active in the NPI registry since August 2005. The organization lists Christopher W Edwardson, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1942292891
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDALLAS FAMILY MEDICINE LLC
Location Address641 SE MILLER AVEDallas, OR 97338-2634
Mailing Address641 Se Miller AveDallas, OR 97338-2634 · (503) 623-2345 · Fax (503) 623-6071
Phone(503) 623-2345
Fax(503) 623-6071
Organization SubpartNo
Authorized OfficialChristopher W EdwardsonSole Member · (503) 623-2345
Enumeration DateAugust 17, 2005
Last NPPES UpdateOctober 22, 2012
✔ NPI 1942292891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · MD13699
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
641 SE MILLER AVE, Dallas, OR 97338
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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 3

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

BRAEDON CLAY MILLER PT, DPT
Physical Therapist
641 SE MILLER AVE
DALLAS, OR 97338
Polk County (503) 623-7305
SALEM HEALTH
Durable Medical Equipment & Medical Supplies
641 SE MILLER AVE
DALLAS, OR 97338
Polk County (503) 540-5300
WILLAMETTE ORTHOPEDIC GROUP, LLC
Orthopaedic Surgery
641 SE MILLER AVE
DALLAS, OR 97338
Polk County (503) 540-6300

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 Dallas Family Medicine LLC's NPI number?

The NPI number for Dallas Family Medicine LLC is 1942292891. It was assigned to this organization in the NPPES registry on August 17, 2005.

Where is Dallas Family Medicine LLC located?

Dallas Family Medicine LLC is located at 641 SE Miller Ave, Dallas, OR 97338. The listed phone number is (503) 623-2345.

What is Dallas Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dallas Family Medicine LLC 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.