Marc B Carey
Family Medicine

Address: 4104 Se 82nd Ave, Suite 250, Portland, OR 97266-2954
Phone: 5032159850

Marc B Carey (NPI# 1659311686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1659311686
Entity Type Individual
Full Name Marc B Carey
Credential MD
Gender Male
Practice Address 4104 Se 82nd Ave
Suite 250
Portland
OR 97266-2954
Practice Telephone 5032159850
Practice Fax Number 5032159855
Mailing Address Po Box 3158
Portland
OR 97208-3158
Mailing Telephone 5032156494
Mailing Fax Number 5032156644
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-06-07
Last Update Date 2017-02-20

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MD26276 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR P00604906 OTHER RR MEDICARE (PH&S)-PMG
OR 028247 MEDICAID

Physician Overview

NPI 1659311686
PAC ID by PECOS 2769584622
Professional Enrollment ID I20070222000770
Full Name Marc B Carey
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Phone Number 5035138336
Gender M
Credential MD
Medical School OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2003
Primary Specialty FAMILY PRACTICE
Group Practice PAC ID 0648183608
Number of Group Practice Members 1040
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380082 PROVIDENCE MILWAUKIE HOSPITAL
380061 PROVIDENCE PORTLAND MEDICAL CENTER

Office Location

Street Address 4104 SE 82ND AVE
SUITE 250
City PORTLAND
State OR
Zip Code 97266-2954

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114453396 Jemie Walrod Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Ste 250, Portland, OR 97266-2954 2017-05-05
1487180667 Edward M Kim Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Ste 250, Portland, OR 97266-2954 2017-05-05
1578099859 Roxanne Thomas Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Ste 250, Portland, OR 97266-2954 2017-05-05
1275980955 Charissa E Rogers Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Ste 250, Portland, OR 97266-2954 2016-05-23
1629454426 Casey Jane Caraher Dentist 4104 Se 82nd Ave, Suite 450, Portland, OR 97266-2954 2015-08-04
1053790295 Claudia Adler Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Suite 250, Portland, OR 97266-2954 2015-05-20
1083021638 Stotz Thoda Jr. Family Medicine 4104 Se 82nd Ave, Suite 250, Portland, OR 97266-2954 2014-07-16
1356752257 Elyssa Ackerman Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Suite 250, Portland, OR 97266-2954 2014-05-13
1124439039 Ilana Hull Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Suite 250, Portland, OR 97266-2954 2014-05-13
1710327473 Michael Saladik Student in an Organized Health Care Education/Training Program 4104 Se 82nd Ave, Ste 250, Portland, OR 97266-2954 2013-06-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528545969 Willamette Pharmacy Pharmacy 10209 Se Division Build B Ste 100, Portland, OR 97266 2018-07-27
1205325727 Yakim Valley Farm Workers Clinic Clinic/Center 9047 Se Foster Rd, Portland, OR 97266 2018-05-10
1992204697 Sober Living Oregon Treatment Center Clinic/Center 10209 Se Division, Portland, OR 97266 2018-02-08
1457877656 Gabriel Mckenna Goodman Counselor 11010 Se Division Street, Suite 202, Portland, OR 97266 2017-08-18
1699204024 Malori Christine Butler Registered Nurse 7335 Se 85th Ave., Portland, OR 97266 2017-06-08
1487028882 Emil Kunkel Naturopath 6318 Se 87th Ave, Portland, OR 97266 2015-11-23
1326410986 Bridges To Change Community/Behavioral Health 10209 Se Division St., Building D, Portland, OR 97266 2015-10-22
1194195313 Cory Hall-martin Counselor 10011 Se Division St #305, Portland, OR 97266 2015-09-30
1336517721 Krispin Mayfield Counselor 10011 Se Division St., Suite 203, Portland, OR 97266 2015-09-02
1407247927 Syrena Nicholson Community Health Worker 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 2015-02-06
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598238214 Whole Systems Healthcare Family Medicine 1020 Sw Taylor St Ste 340, Portland, OR 97205-2508 2019-01-04
1942791611 Western U Medical Group, LLC Family Medicine 5909 Se 92nd Ave, Portland, OR 97266-4642 2018-05-29
1770089245 Richard Farwell Leman Family Medicine 800 Ne Oregon St., Suite 772, Portland, OR 97232 2018-04-03
1952803413 Aleksandra Giedowyn Md PC Family Medicine 1923 Ne Broadway Street Suite 2, Portland, OR 97232 2018-03-01
1992175509 Lone Star Evaluations Inc. Family Medicine 1500 Wildcat Dr Ste M, Portland, TX 78374-2826 2015-09-25
1366836900 Virginia Clare Weeks Family Medicine 426 Sw Harvey Milk St Fl 5, Portland, OR 97204-2303 2015-03-21
1750792669 Carolyn M Peterson Family Medicine 18040 Sw Lower Boones Ferry Rd Ste 304, Portland, OR 97224-7258 2014-05-13
1720498512 Christopher J Kim Family Medicine 15640 Nw Laidlaw Rd Ste 102, Portland, OR 97229-3828 2014-05-01
1831517994 Sean Schafer Family Medicine 800 Ne Oregon St Ste 1105, Portland, OR 97232-2187 2014-04-04
1073856142 Ben Lawrence Pederson Family Medicine 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 2013-03-27
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97266

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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