Roberts Street Clinic, P.C.
NPI 1003024423ActiveOrganization· Family Medicine· Gresham, OR
Family Medicine in Gresham, Oregon, registered in NPPES in May 2007. The authorized official on file is Linda Mankey, Clinic Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003024423 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2007 |
| Last updated in NPPES | Oct 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO18839 | OR |
| Family Medicine | 207Q00000X | DO15150 | OR |
| Family Medicine | 207Q00000X | DO21884 | OR |
| Internal Medicine | 207R00000X | MD17149 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
Other Family Medicine providers in Gresham
- 1427223395
- 1114783396
- 1861520991
- 1053419218
- 1881429918
- 1164840815
- 1871933796
- 1821354366
- 1821587924
- 1114913183
- 1578509980
- 1821245788