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

Sellwood Medical Clinic PC

Organization Family Medicine Physician · NPI 1083686554

Sellwood Medical Clinic PC provides Family Medicine Physician services in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
3
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

8332 SE 13th Ave
Portland, OR 97202-7102
Phone: (503) 595-9300
Fax: (503) 233-1892
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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 · Licence MD11101 (OR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD06704 (OR)
Physician Assistant Taxonomy 363A00000X · Licence P83603 (OR)

Record details

NPI number1083686554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morgan Munoz — Business Office Supervisor · (503) 595-9300
NPI enumeratedFebruary 7, 2006
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address8332 Se 13th Ave, Portland, OR 97202-7102

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