ROBERTS STREET CLINIC, P.C.
ROBERTS STREET CLINIC, P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003024423, based in Gresham, OR. The organization lists 2 taxonomy classifications, with Family Medicine Physician recorded as primary.
Getting there
Here is what surrounds this office in Gresham, based on OpenStreetMap data collected Aug 30, 2026. Parking is available about 916 ft away. The nearest transit stop is 421 ft away, served by North Main & Northeast 5th. A pharmacy sits 0.25 mi from the entrance (East County Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 990 ft away.
Getting here and what is nearby
Restaurant Mojave Grill and Cantina 168 ft ~1 min
Restaurant Spinella's 394 ft ~2 min
Transit Northeast Hood & 5th 398 ft ~2 min
Transit Northeast Hood & 5th 407 ft ~2 min
Transit North Main & Northeast 5th 421 ft ~2 min
Restaurant Bacari--A Petit Restaurant 397 ft ~2 min
398 Northeast Hood Avenue, Gresham 97030
Coffee Stomping Grounds Coffee House 449 ft ~2 min
308 North Main Avenue, Gresham 97030
Mo-Fr 06:00-18:00; Sa 07:00-18:00; Su 07:00-17:00
Parking 676 ft ~3 min
Coffee Legacy Coffee & Books 781 ft ~3 min
112 North Main Avenue, Gresham 97030
Mo-Sa 07:00-17:00
Parking 901 ft ~4 min
Parking 916 ft ~4 min
Coffee Legacy Coffee Company 990 ft ~4 min
Convenience ampm 0.22 mi ~5 min
Gas station Chevron 0.22 mi ~5 min
Convenience ExtraMile 0.23 mi ~5 min
Gas station Arco 0.23 mi ~5 min
Pharmacy East County Pharmacy 0.25 mi ~6 min
600 Northeast 8th Street, Gresham 97030
Mo-Fr 08:30-17:30
Gas station Space Age Fuel 0.27 mi ~6 min
22 Northwest Division Street, Gresham 97030
Mo-Fr 06:30-21:00; Sa-Su 07:00-21:00
Grocery Tienda La Guadalupe 0.36 mi ~8 min
847 East Powell Boulevard, Gresham 97030
Convenience Plaid Pantry 0.44 mi ~9 min
930 East Powell Boulevard, Gresham
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DO15150 | OR | Family Medicine Physician |
| DO21884 | OR | Family Medicine Physician |
| MD17149 | OR | Internal Medicine Physician |
| DO18839 | OR | Family Medicine Physician primary |
This provider holds licence DO15150 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5991787426
- Enrollment ID
- O20040607000983
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Family Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207Q00000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | DO15150 | OR | |
| 207Q00000X | Family Medicine Physician | DO21884 | OR | |
| 207R00000X | Internal Medicine Physician | MD17149 | OR | |
| 207Q00000X | Family Medicine Physician | DO18839 | OR | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003024423 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 18, 2007 |
| Last updated | Oct 10, 2007 |
| Status | Active |
| Practice address |
400 NE ROBERTS AVE Gresham, OR 97030 (503) 669-3066 Fax (503) 665-6404 |
| Other identifiers |
029582
· Medicaid (OR) 079546 · Medicaid (OR) 205823 · Medicaid (OR) 287658 · Medicaid (OR) 287698 · Medicaid (OR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 2 | 4 | 4 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 2 | 8 | 4 | 4 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.