PENDLETON FAMILY MEDICINE – NPI #1386145993
Clinic/Center

PENDLETON FAMILY MEDICINE is an AHC clinic located in PENDLETON, OR. NPPES has assigned the NPI number 1386145993 to PENDLETON FAMILY MEDICINE on February 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PENDLETON FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is PRAXIS HEALTH, PC. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 5 years ago on Aug 30, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENDLETON FAMILY MEDICINE below.

NPI Profile for
PRAXIS HEALTH, PC

NPI Number
1386145993
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRAXIS HEALTH, PC
Doing Business As (dba): PENDLETON FAMILY MEDICINE
Other name(s)
All associated names:
Doing Business As (dba)
PENDLETON FAMILY MEDICINE
Former Legal Business Name
PRAXIS MEDICAL GROUP, INC.
Primary location
2450 SW PERKINS AVE
PENDLETON, OR 97801-4302
Phone: (541) 276-1700 Fax: (541) 276-6327
Mailing address
PO BOX 1517
PENDLETON, OR 97801-0410
Phone: (877) 708-1119 Fax: (541) 278-8349
Organization Subpart
No
Authorized Official
JESSICA REAGAN
REVENUE CYCLE DIRECTOR
Phone: (541) 966-6136
Updated
Certification Date
Aug 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.