SOUTHWEST PORTLAND MEDICAL CLINIC INC – Primary Care Clinic/Center, NPI 1245566843

SOUTHWEST PORTLAND MEDICAL CLINIC INC is a healthcare provider. based in Tacoma, Washington. specializing in Primary Care Clinic/Center. The organization holds a License No. 00022250 (WA). The NPI Number for SOUTHWEST PORTLAND MEDICAL CLINIC INC is 1245566843

Main info

Organization
Name
SOUTHWEST PORTLAND MEDICAL CLINIC INC
NPI
1245566843
Phone
(253) 474-7719
Address
3716 PACIFIC AVE STE D
Authorized Official
DR. FELINO BAUTISTA DE LEON III PRESIDENT MD
Enumeration Date
2 November 2009
Last Update Date
2 November 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for SOUTHWEST PORTLAND MEDICAL CLINIC INC

  • 3716 PACIFIC AVE STE D

    TACOMA, WA 984187836

    Phone: (253) 474-7719

    Type: Location

  • 6097, 156th Place Southeast, Hilltop, Bellevue, King County, Washington, 98006, United States

    BELLEVUE, WA 980065307

    Phone: (425) 785-6164

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 98418)

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Reviews

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Frequently asked questions

Can I use this page to confirm SOUTHWEST PORTLAND MEDICAL CLINIC INC's NPI?
Yes. SOUTHWEST PORTLAND MEDICAL CLINIC INC is listed with NPI 1245566843 in the public NPI dataset.
Does the file indicate SOUTHWEST PORTLAND MEDICAL CLINIC INC is practicing under active NPI?
Directory data currently reports SOUTHWEST PORTLAND MEDICAL CLINIC INC as active.
What is SOUTHWEST PORTLAND MEDICAL CLINIC INC best known for clinically?
Directory data describes SOUTHWEST PORTLAND MEDICAL CLINIC INC with Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where is SOUTHWEST PORTLAND MEDICAL CLINIC INC based?
SOUTHWEST PORTLAND MEDICAL CLINIC INC is tied to Tacoma, Washington in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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