PREMISE HEALTH OF OREGON MEDICAL PC
NPI 1992470504
Clinic/Center - Multi-Specialty in Portland, OR

Q: What is Premise Health Of Oregon Medical PC's NPI number?

The NPI number for Premise Health Of Oregon Medical PC is 1992470504. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as Leatherman - Portland.

Q: What is Premise Health Of Oregon Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since August 16, 2021CLIA 38D2145671 · Waiver

12106 NE AINSWORTH CIR STE 5, PORTLAND, OR 97220(541) 225-5551(301) 244-0995 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Oct 13, 2022, Aug 16, 2021 (3 updates tracked since 2021).

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About Premise Health Of Oregon Medical Pc NPPES

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

PREMISE HEALTH OF OREGON MEDICAL PC (NPI 1992470504), doing business as Leatherman - Portland, is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through March 12, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1992470504

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePREMISE HEALTH OF OREGON MEDICAL PC

Location Address12106 NE AINSWORTH CIR STE 5Portland, OR 97220-9001

Mailing Address5500 Maryland WayBrentwood, TN 37027-7048

Phone(541) 225-5551

Fax(301) 244-0995

Organization SubpartNo

Authorized OfficialEdward William SchwartzPresident · (844) 407-7557

Enumeration DateAugust 16, 2021

Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1992470504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

12106 NE AINSWORTH CIR STE 5, Portland, OR 97220

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Other Names 1

Doing Business AsLeatherman - Portland

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 Waiver 38D2145671

Premise Health Of Oregon Medical, PC · Portland, OR

Active · expires Mar 12, 2028

CLIA Number38D2145671

Laboratory TypePhysician Office

Certificate Effective DateMarch 13, 2026

Certificate Expiration DateMarch 12, 2028

Laboratory DirectorJames Boyd

Laboratory Phone(541) 391-4866

Laboratory LocationPremise Health Of Oregon Medical, PC12106 NE Ainsworth Circle Suite 5, Portland, OR 97220

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CAREHERE LLC

Family Medicine (Adult Medicine)

12106 NE AINSWORTH CIR STE 5
PORTLAND, OR 97220

Multnomah County (615) 221-5901

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 Premise Health Of Oregon Medical PC's NPI number?

The NPI number for Premise Health Of Oregon Medical PC is 1992470504. It was assigned to this organization in the NPPES registry on August 16, 2021. The provider is doing business as Leatherman - Portland.

Where is Premise Health Of Oregon Medical PC located?

Premise Health Of Oregon Medical PC is located at 12106 NE Ainsworth Cir Ste 5, Portland, OR 97220. The listed phone number is (541) 225-5551.

What is Premise Health Of Oregon Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Oregon Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2145671) is associated with this NPI, valid through March 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Oregon Medical PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.