PORTLAND DIABETES & ENDOCRINOLOGY - NPI 1942419569 - Internal Medicine in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

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About Portland Diabetes & Endocrinology NPPES

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

PORTLAND DIABETES & ENDOCRINOLOGY (NPI 1942419569), doing business as Portland Diabetes & Endocrinology Center, P C, is a healthcare organization registered as an endocrinology, diabetes & metabolism in Portland, Oregon and active in the NPI registry since May 2007. The organization holds an CLIA Accreditation certificate valid through June 25, 2028 and lists Richard W Bergstrom, President, as its authorized official.

NPPES Registry Identity

NPI1942419569

Entity TypeOrganization

Primary Taxonomy207RE0101X

Legal Business NamePORTLAND DIABETES & ENDOCRINOLOGY

Location Address9135 SW BARNES RD STE 985Portland, OR 97225-6699

Mailing Address9135 Sw Barnes Rd Ste 985Portland, OR 97225-6699 · (503) 297-3336 · Fax (503) 297-3338

Phone(503) 297-3336

Fax(503) 297-3338

Organization SubpartNo

Authorized OfficialRichard W BergstromPresident · (503) 274-4884

Enumeration DateMay 21, 2007

Last NPPES UpdateJuly 9, 20267 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1942419569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

9135 SW BARNES RD STE 985, Portland, OR 97225

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Other Names 1

Doing Business AsPortland Diabetes & Endocrinology Center, P C

Other Identifiers 1

Medicaid151316OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D2043330

Portland Diabetes And Endocrinology Center · Portland, OR

Active · expires Jun 25, 2028

CLIA Number38D2043330

Laboratory TypePhysician Office

Certificate Effective DateJune 26, 2026

Certificate Expiration DateJune 25, 2028

Laboratory DirectorDr. Scott P. Grady

Laboratory Phone(503) 297-3336

Laboratory LocationPortland Diabetes And Endocrinology Center9135 SW Barnes Rd Suite 985, Portland, OR 97225

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 12

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

LAUREL R ZUBERI NP

Nurse Practitioner (Family)