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

Premise Health of Oregon Medical P C

Organization Multi-Specialty Clinic/Center · NPI 1164197083

Premise Health of Oregon Medical P C is a Multi-Specialty Clinic/Center in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4709 N Lagoon Ave
Portland, OR 97217-7741
Phone: (503) 745-7138
Fax: (503) 745-6243
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1164197083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Schwartz — President · (844) 407-7557
Other names Dtna - Portland; Dtna - Portland
NPI enumeratedAugust 12, 2021
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address5500 Maryland Way, Brentwood, TN 37027-7048

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