Roberts Street Clinic, P.C.
Roberts Street Clinic, P.C. is a healthcare organization registered as Family Medicine Physician in Gresham, OR, holding Type 2 (organization) NPI 1003024423 since 2007. The authorized official on file is Linda Mankey, Clinic Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003024423 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Roberts Street Clinic, P.C. |
| Practice address | 400 NE ROBERTS AVE, Gresham, OR, 97030 |
| Phone | 5036693066 |
| Fax | 5036656404 |
| Enumeration date | 2007-05-18 |
| Last updated in NPPES | 2007-10-10 |
Authorized official
| Name | Linda Mankey |
|---|---|
| Title | Clinic Manager |
| Phone | 5036693066 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Secondary | DO15150 | OR |
| 207Q00000X | Family Medicine Physician | Secondary | DO21884 | OR |
| 207R00000X | Internal Medicine Physician | Secondary | MD17149 | OR |
| 207Q00000X | Family Medicine Physician | Primary | DO18839 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205823 | Medicaid | OR | — |
| 287658 | Medicaid | OR | — |
| 029582 | Medicaid | OR | — |
| 079546 | Medicaid | OR | — |
| 287698 | Medicaid | OR | — |
Copy-ready billing details
Provider: Roberts Street Clinic, P.C. NPI: 1003024423 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 400 NE ROBERTS AVE, Gresham, OR, 97030
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1851387849 | Toni Hero | Individual | Family Medicine Physician | Gresham, OR |
| 1114913183 | Gordon Canzler | Individual | Family Medicine Physician | Gresham, OR |
Verify this record
Cross-check NPI 1003024423 against the authoritative CMS record: view Roberts Street Clinic, P.C. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Roberts Street Clinic, P.C.?
What is the NPI number for Roberts Street Clinic, P.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-10.