Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaverton Family Medicine

Organization Family Medicine Physician · NPI 1255607446

Beaverton Family Medicine is a Family Medicine Physician in Beaverton, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

17200 NW Corridor Ct Ste 110
Beaverton, OR 97006-3295
Phone: (503) 213-3800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1255607446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Haines — Owner · (503) 213-3800
NPI enumeratedApril 1, 2012
Last updated in NPPESJune 25, 2012
Mailing address17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295

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