Portland Clinic
NPI 1558379099 · Internal Medicine Physician · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Clinic is a Internal Medicine Physician organization in Portland, OR (NPI 1558379099).
Provider details
- NPI number
- 1558379099
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Mulcaster, Cmo(503) 221-0161
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Gynecology Physician207VG0400X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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)
- Other name
- The Portland Clinic LLP
- Other name
- The Portland Clinic LLP
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Frequently asked questions
- What is Portland Clinic's NPI number?
- Portland Clinic's National Provider Identifier (NPI) is 1558379099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Clinic?
- Portland Clinic is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Portland Clinic located?
- Portland Clinic's practice location on file with NPPES is 800 Sw 13th Ave, Portland, OR 97205.
- What is Portland Clinic's phone number?
- The practice phone number listed in the NPPES registry for Portland Clinic is (503) 221-0161.
- Does Portland Clinic accept Medicare?
- Portland Clinic 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 Portland Clinic?
- The authorized official listed on Portland Clinic's NPPES record is Amy Mulcaster, Cmo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Clinic's NPI active?
- Yes — Portland Clinic's NPI (1558379099) is active in the NPPES registry as of the last update on 2024-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.