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Portland Primary Care LLC

Internal Medicine Physician in Portland, TN · enumerated 2006 · authorized official Jeff Rydburg, Vp.

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

National Provider Identifier

1720034226

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Registry record

Entity type Organization (Type 2)
Legal business name Portland Primary Care LLC
Parent organization Hti Hospital Holdings, Inc.
Practice address 103 Redbud Dr, Suite E, Portland, TN, 37148
Fax (615) 325-1245
Enumeration date May 26, 2006
Last updated in NPPES Dec 11, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jeff Rydburg
Title Vp

Other identifiers

Identifier Type State Issuer
3734188 Medicaid TN -

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Portland Primary Care LLC?
Portland Primary Care LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-11.