The Endocrine Clinic PC
NPI 1255367884ActiveOrganization· Internal Medicine, Endocrinology, Diabetes & Metabolism· Portland, OR
Internal Medicine, Endocrinology, Diabetes & Metabolism in Portland, Oregon, registered in NPPES in June 2006. The authorized official on file is Tami L. Prideaux, Clinic Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255367884 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | MD019378 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|
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