OrganizationActive
Bluestone Clinic LLC
NPI 1962192922 · Public Health & General Preventive Medicine Physician · Portland, OR
Provider details
- NPI number
- 1962192922
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Friede, Manager(260) 577-2266
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
111 Sw 5th Ave
Portland, OR 97204-3604
Phone: (260) 577-2266
Street-level locationGet directions
Mailing address
800 Nw Powhatan Ter
Portland, OR 97210-2733
Other names (DBA / former)
- Doing business as
- The Bluestone Clinic
Additional practice locations (1)
- 800 Nw Powhatan TerPortland, OR 97210-2733Phone: (260) 577-2266
Registry dates
- Enumerated
- 2023-05-11
- Last updated
- 2023-08-30
- Certified
- 2023-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.