OrganizationActive
At Home Primary Care
NPI 1336596113 · Primary Care Clinic/Center · Oregon City, OR
Provider details
- NPI number
- 1336596113
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Housecall Medical Services Inc
- Authorized official
- Monica Ferguson, Ceo
- License
- 200650008NP (OR)
Practice location
511 Main St
Suite 112
Oregon City, OR 97045-1830
Phone: (503) 344-6717
Fax: (503) 345-9867
Mailing address
Po Box 945
Lake Oswego, OR 97034-0103
Registry dates
- Enumerated
- 2016-05-20
- Last updated
- 2016-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.