SOUTH TABOR FAMILY PHYSICIANS
NPI 1982649299
Clinic/Center in Portland, OR
About South Tabor Family Physicians NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH TABOR FAMILY PHYSICIANS (NPI 1982649299) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since June 2006. The organization lists Londa Everett, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
South Tabor Family Physicians is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to South Tabor Family Physicians, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 38D0623570
South Tabor Family Physicians · Portland, ORFrequently 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 South Tabor Family Physicians's NPI number?
The NPI number for South Tabor Family Physicians is 1982649299. It was assigned to this organization in the NPPES registry on June 19, 2006.
Where is South Tabor Family Physicians located?
South Tabor Family Physicians is located at 10803 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 261-7200.
What is South Tabor Family Physicians's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is South Tabor Family Physicians enrolled in Medicare?
Yes. South Tabor Family Physicians is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South Tabor Family Physicians?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to South Tabor Family Physicians. 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. The largest specialties are Family Practice (5) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does South Tabor Family Physicians accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list South Tabor Family Physicians 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 South Tabor Family Physicians was last updated on October 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# South Tabor Family Physicians · NPI 1982649299
Clinic/Center organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since June 19, 2006.
## Identity
- **NPI:** 1982649299 (Entity type: Organization)
- **Enumerated:** June 19, 2006
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Londa Everett, ADMINISTRATOR
## Practice location
- **Address:** 10803 SE CHERRY BLOSSOM DR, Portland, OR 97216-3107
- **Phone:** (503) 261-7200 · **Fax:** (503) 261-7249
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (5), Nurse Practitioner (1); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2012
- **Other identifiers:** Medicare ID-Type Unspecified 00WCBBR (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982649299) · Data from the CMS NPPES public registry.