Canby Healthcare Clinic LLC
NPI 1114253713 · Rural Health Clinic/Center · Canby, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canby Healthcare Clinic LLC is a Rural Health Clinic/Center organization in Canby, OR (NPI 1114253713).
Provider details
- NPI number
- 1114253713
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Pauline Richards, Owner(503) 266-7686
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Canby Healthcare Clinic
Registry dates
- Enumerated
- 2009-11-02
- Last updated
- 2013-02-14
Frequently asked questions
- What is Canby Healthcare Clinic LLC's NPI number?
- Canby Healthcare Clinic LLC's National Provider Identifier (NPI) is 1114253713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canby Healthcare Clinic LLC?
- Canby Healthcare Clinic LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Canby Healthcare Clinic LLC located?
- Canby Healthcare Clinic LLC's practice location on file with NPPES is 703 Se 1st Ave, Canby, OR 97013-3849.
- What is Canby Healthcare Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Canby Healthcare Clinic LLC is (503) 266-7686.
- Does Canby Healthcare Clinic LLC accept Medicare?
- Canby Healthcare Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canby Healthcare Clinic LLC?
- The authorized official listed on Canby Healthcare Clinic LLC's NPPES record is Pauline Richards, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canby Healthcare Clinic LLC's NPI active?
- Yes — Canby Healthcare Clinic LLC's NPI (1114253713) is active in the NPPES registry as of the last update on 2013-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.