OrganizationActive
Northwest Geriactrics
NPI 1639793367 · Hospice and Palliative Medicine (Family Medicine) Physician · Clackamas, OR
Provider details
- NPI number
- 1639793367
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Phillips, President(435) 862-6143
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
10365 Se Sunnyside Rd Ste 340
Clackamas, OR 97015-5751
Phone: (143) 586-2614
Approximate (ZIP-level) locationGet directions
Mailing address
206 N 2100 W Ste 202
Salt Lake City, UT 84116-4741
Registry dates
- Enumerated
- 2020-05-28
- Last updated
- 2020-05-28
- Certified
- 2020-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.