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Fanno Creek Clinic LLC

Internal Medicine Physician in Portland, OR · enumerated 2005 · authorized official Larry Reed, Clinic Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609876705

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Fanno Creek Clinic LLC
Practice address 2400 Sw Vermont St, Portland, OR, 97219
Phone (503) 452-0915
Fax (503) 768-9232
Enumeration date Jul 29, 2005
Last updated in NPPES Oct 16, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 2802 (OR) Primary

Authorized official

Name Larry Reed
Title Clinic Manager
Phone (503) 452-0915

Other identifiers

Identifier Type State Issuer
151070 Medicaid OR -

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.

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Frequently asked questions

Who is the authorized official for Fanno Creek Clinic LLC?
NPPES lists Larry Reed (Clinic Manager) as the authorized official for this organization.
What is the NPI number for Fanno Creek Clinic LLC?
The NPI for Fanno Creek Clinic LLC is 1609876705, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-16.