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

Sellwood Medical Clinic PC

Organization Family Medicine Physician · NPI 1083686554

Sellwood Medical Clinic PC is a Family Medicine Physician in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
3
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

8332 SE 13th Ave
Portland, OR 97202-7102
Phone: (503) 595-9300
Fax: (503) 233-1892
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD11101 (OR)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD06704 (OR)
Physician Assistant Taxonomy 363A00000X · Licence P83603 (OR)

Record details

NPI number1083686554
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morgan Munoz — Business Office Supervisor · (503) 595-9300
NPI enumeratedFebruary 7, 2006
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022
Mailing address8332 Se 13th Ave, Portland, OR 97202-7102

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