OrganizationActive
Bywater Health, LLC
NPI 1356192652 · Primary Care Clinic/Center · Portland, OR
Provider details
- NPI number
- 1356192652
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Williamson, Owner(504) 434-9164
Specialties & taxonomies
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
2119 Ne Halsey St
Portland, OR 97232-1522
Phone: (503) 975-9398
Fax: (503) 221-8320
Street-level locationGet directions
Mailing address
2119 Ne Halsey St
Portland, OR 97232-1522
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.