MEDICARE: VIRTUALCARE MEDICAL GROUP OF OR PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363LF0000X	Family Nurse Practitioner
2	261QU0200X	Urgent Care Clinic/Center
3	261QP2300X	Primary Care Clinic/Center
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1598468910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRTUALCARE MEDICAL GROUP OF OR PC

Provider Business Mailing Address
First Line	:	228 PARK AVE S
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-0103
Country	:	US
Telephone Number	:	410-403-5447
Fax Number	:

Provider Business Practice Location Address
First Line	:	10260 SW GREENBURG RD FL 4
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97223-5500
Country	:	US
Telephone Number	:	844-301-0093
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	AIDEN FENG
Credential	:	MD
Telephone Number	:	410-403-5447

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	05/21/2026

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