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

Roberts Street Clinic, PC

Organization Family Medicine Physician · NPI 1003024423

Roberts Street Clinic, PC is a Family Medicine Physician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
4
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

400 NE Roberts Ave
Gresham, OR 97030-7464
Phone: (503) 669-3066
Fax: (503) 665-6404
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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 DO18839 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO15150 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO21884 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD17149 (OR)

Record details

NPI number1003024423
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Mankey — Clinic Manager · (503) 669-3066
NPI enumeratedMay 18, 2007
Last updated in NPPESOctober 10, 2007
Mailing address400 Ne Roberts Ave, Gresham, OR 97030-7464

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