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

Family Medical Group Northeast, PC

Organization Family Medicine Physician · NPI 1831385673

Family Medical Group Northeast, PC is a Family Medicine Physician 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
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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