Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Family Medical Group Northeast, PC

Organization Family Medicine Physician · NPI 1831385673

Family Medical Group Northeast, PC provides Family Medicine Physician services in Portland, Oregon. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2647 NE 33rd Ave
Portland, OR 97212-3647 Not confirmed with CMS for 19 years — call before visiting
Phone: (503) 288-0083
Fax: (503) 288-7843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1831385673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keirene Adams — Administrator · (503) 288-0083
NPI enumeratedSeptember 14, 2007
Last updated in NPPESSeptember 14, 2007
Mailing address2647 Ne 33rd Ave, Portland, OR 97212-3647

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