DALLAS FAMILY MEDICINE LLC – Specialist, NPI 1942292891

DALLAS FAMILY MEDICINE LLC is a healthcare provider. based in Dallas, Oregon. specializing in Specialist. The organization holds a License No. MD13699 (OR). The NPI Number for DALLAS FAMILY MEDICINE LLC is 1942292891

Main info

Organization
Name
DALLAS FAMILY MEDICINE LLC
NPI
1942292891
Phone
(503) 623-2345
Address
641 SE MILLER AVE
Authorized Official
DR. CHRISTOPHER W EDWARDSON SOLE MEMBER MD
Enumeration Date
17 August 2005
Deactivation Date
30 August 2005
Reactivation Date
14 January 2008
Last Update Date
22 October 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DALLAS FAMILY MEDICINE LLC

  • 641, Southeast Miller Avenue, Dallas, Polk County, Oregon, 97338, United States

    DALLAS, OR 973382634

    Phone: (503) 623-2345

    Fax: (503) 623-6071

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97338)

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Reviews

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Frequently asked questions

Can I verify DALLAS FAMILY MEDICINE LLC with an NPI only?
You can start verification with NPI 1942292891 for DALLAS FAMILY MEDICINE LLC, then check state licensing separately.
Is DALLAS FAMILY MEDICINE LLC listed as active for patients and plans?
The listing shows DALLAS FAMILY MEDICINE LLC as active in the NPI system.
What healthcare role does DALLAS FAMILY MEDICINE LLC hold?
Scheduling teams often label DALLAS FAMILY MEDICINE LLC under Other Service Providers. Clinical services aligned with this taxonomy classification.
Where is DALLAS FAMILY MEDICINE LLC based?
DALLAS FAMILY MEDICINE LLC is tied to Dallas, Oregon in the data we show; additional addresses may exist on the full record.
Is the information about DALLAS FAMILY MEDICINE LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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