Henry R Rivas, MD
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1194780353
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1194780353
- Entity type
- Individual (NPI-1)
- Name
- Henry R Rivas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD14654 | OR | Yes |
Practice location
11510 Se Stark StPortland, OR 97216-3356
Phone 503-256-0636 · Fax 503-408-7034
Mailing address
Po Box 92900Portland, OR 97292-0900
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