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

Northwest Geriactrics

Organization Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1639793367

Northwest Geriactrics is a Hospice and Palliative Medicine (Family Medicine) Physician in Clackamas, Oregon. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

10365 SE Sunnyside Rd Ste 340
Clackamas, OR 97015-5751
Phone: (143) 586-2614
Show map & directions

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

Specialties & licences

Hospice and Palliative Medicine (Family Medicine) Physician (primary) Taxonomy 207QH0002X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1639793367
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Phillips — President · (435) 862-6143
NPI enumeratedMay 28, 2020
Last updated in NPPESMay 28, 2020
Certification dateMay 28, 2020
Mailing address206 N 2100 W Ste 202, Salt Lake City, UT 84116-4741