The Portland Clinic Llp - Medicare in Portland, OR

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The Portland Clinic Llp is a medicare enrolled "Internal Medicine" provider in Portland, Oregon. Their current practice location is 800 Sw 13th Ave, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at (503) 221-0161.

The Portland Clinic Llp is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. The Portland Clinic Llp is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1558379099.

Contact Information

The Portland Clinic Llp
800 Sw 13th Ave,
Portland, OR 97205
(503) 221-0161
(503) 221-4451

Map and Direction




Healthcare Provider's Profile

Full NameThe Portland Clinic Llp
TypeFacility
SpecialityInternal Medicine
Location800 Sw 13th Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558379099
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 04/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224942867
  • Enrollment ID: O20031118000101

Medical Identifiers

Medical identifiers for The Portland Clinic Llp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558379099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Secondary
207N00000XDermatology (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207VG0400XObstetrics & Gynecology - Gynecology (* (Not Available))Secondary
207W00000XOphthalmology (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. The Portland Clinic Llp acts as a billing entity for following providers:
Provider NameLaura K Bitts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437241601
PECOS PAC ID: 4789571902
Enrollment ID: I20040302001260
Provider NameMark G Bates
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558453696
PECOS PAC ID: 7810885530
Enrollment ID: I20040305000227
Provider NameHui Ning Fung
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164408068
PECOS PAC ID: 3971499435
Enrollment ID: I20040324001835
Provider NameMichael J George
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922050236
PECOS PAC ID: 3173504826
Enrollment ID: I20040527000909
Provider NameJose O Novoa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417908757
PECOS PAC ID: 6002897790
Enrollment ID: I20040527001213
Provider NameSean P Stack
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1962453217
PECOS PAC ID: 2860473311
Enrollment ID: I20040528001105
Provider NameRichard D Collins
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710939186
PECOS PAC ID: 3577544055
Enrollment ID: I20040528001266
Provider NameStephen L Burrows
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841241106
PECOS PAC ID: 2264413749
Enrollment ID: I20040528001296
Provider NameSuvarna R Palla
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558311688
PECOS PAC ID: 0143293738
Enrollment ID: I20040812001181
Provider NameRonald U Vallejo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255381422
PECOS PAC ID: 7113975624
Enrollment ID: I20050111000378
Provider NameMichael Melton Pass
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326090762
PECOS PAC ID: 8123072147
Enrollment ID: I20050311000348
Provider NameDavid C Harrison
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1144272527
PECOS PAC ID: 8325088420
Enrollment ID: I20050509000470
Provider NameMakindra L Fitton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679548465
PECOS PAC ID: 7810921186
Enrollment ID: I20050926000775
Provider NameBryan C Chitwood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619197480
PECOS PAC ID: 6103851290
Enrollment ID: I20050927001599
Provider NameJanelle M Rohrback
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1699868489
PECOS PAC ID: 8729013628
Enrollment ID: I20050929000282
Provider NameTimothy C Thunder
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417980848
PECOS PAC ID: 8325066244
Enrollment ID: I20051109000048
Provider NameJody L Pettit
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063447100
PECOS PAC ID: 0446279822
Enrollment ID: I20051115000466
Provider NameMasud K Ahmad
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1780620880
PECOS PAC ID: 2961302872
Enrollment ID: I20051205000133
Provider NameJames M Lee
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780630673
PECOS PAC ID: 1456357078
Enrollment ID: I20061004000493
Provider NameTravis E Fromwiller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1184671620
PECOS PAC ID: 8123030145
Enrollment ID: I20070525000453
Provider NameEduardo A Vides
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801873492
PECOS PAC ID: 9436168804
Enrollment ID: I20070529000635
Provider NameTerresa S Jung
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1205928371
PECOS PAC ID: 1456441195
Enrollment ID: I20071218000233
Provider NameChris B Hyun
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1447230594
PECOS PAC ID: 8426131574
Enrollment ID: I20080212000542
Provider NameAlbert H Khine
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1386720274
PECOS PAC ID: 6406939560
Enrollment ID: I20080212000651
Provider NameRobert C Crouse
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659339083
PECOS PAC ID: 1759464811
Enrollment ID: I20080212000679
Provider NamePrasanna R Chandran
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861567729
PECOS PAC ID: 6406939578
Enrollment ID: I20080212000740
Provider NameRonald D Allen
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1376516294
PECOS PAC ID: 7214014539
Enrollment ID: I20080410000136
Provider NameReewen C Dsouza-kamath
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831192756
PECOS PAC ID: 5496832727
Enrollment ID: I20080410000234
Provider NameJared R Sadler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1699814665
PECOS PAC ID: 7214015452
Enrollment ID: I20080429000210
Provider NameRobert H Sandmeier
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1992751507
PECOS PAC ID: 5597663492
Enrollment ID: I20080430000053
Provider NameJonathan C Crist
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1134252851
PECOS PAC ID: 7315016003
Enrollment ID: I20080924000723
Provider NameAmy L Mulcaster
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063439644
PECOS PAC ID: 8022087485
Enrollment ID: I20081002000423
Provider NameRyan Gorger
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164537981
PECOS PAC ID: 1153423405
Enrollment ID: I20090212000489
Provider NameChristine A Ahlbrecht
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891740239
PECOS PAC ID: 4082762471
Enrollment ID: I20090422000594
Provider NameKyu Kim
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992825475
PECOS PAC ID: 4688727142
Enrollment ID: I20090730000360
Provider NameAngela N Schoenheit
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225262728
PECOS PAC ID: 4981758893
Enrollment ID: I20090812000107
Provider NameAndrew Peter Rose-innes
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1578649224
PECOS PAC ID: 3971583238
Enrollment ID: I20100406000075
Provider NameJustin Pavlovich
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1528238805
PECOS PAC ID: 7810025046
Enrollment ID: I20100510000527
Provider NameBrian M Lindeman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003081241
PECOS PAC ID: 9234260464
Enrollment ID: I20100701000357
Provider NameJohn K Bradshaw
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1679734354
PECOS PAC ID: 8820140270
Enrollment ID: I20100714000890
Provider NameRicha Uppal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003071846
PECOS PAC ID: 2163588195
Enrollment ID: I20101013000075
Provider NameMichael P Cunningham
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154517175
PECOS PAC ID: 1355538810
Enrollment ID: I20101209000387
Provider NameMarie-louise Dhulst
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093882789
PECOS PAC ID: 5597954354
Enrollment ID: I20110110000158
Provider NameLaura E Bledsoe
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1528159001
PECOS PAC ID: 9133205982
Enrollment ID: I20110121000382
Provider NameKathleen M Palm
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1659463743
PECOS PAC ID: 5597944611
Enrollment ID: I20110121000411
Provider NameBrett M Rath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831280312
PECOS PAC ID: 4284710039
Enrollment ID: I20110124001256
Provider NameEhud I Zusman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1952492431
PECOS PAC ID: 1557447307
Enrollment ID: I20110126000262
Provider NamePatricia Blumenthal
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831257328
PECOS PAC ID: 0143401836
Enrollment ID: I20110301000585
Provider NameAnn Marie Paulsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780848499
PECOS PAC ID: 9830368620
Enrollment ID: I20110811000889
Provider NameCristina G Mondragon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235129891
PECOS PAC ID: 7214029099
Enrollment ID: I20110812000008
Provider NameGary S Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306820667
PECOS PAC ID: 5991982480
Enrollment ID: I20120621000009
Provider NameMichael D Hwang
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1861503294
PECOS PAC ID: 5294929402
Enrollment ID: I20120815000128
Provider NameStephen John Mannino
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1679553218
PECOS PAC ID: 0648426247
Enrollment ID: I20120815000192
Provider NameBrooke Madden
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1366642746
PECOS PAC ID: 6800042409
Enrollment ID: I20120815000218
Provider NameSarah L Flowerday
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902038185
PECOS PAC ID: 7911155114
Enrollment ID: I20120913000045
Provider NameJanson L Holm
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1780827279
PECOS PAC ID: 7113178286
Enrollment ID: I20121119000526
Provider NameScott H Ambruster
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1760686505
PECOS PAC ID: 5496810681
Enrollment ID: I20130718000415
Provider NameAnong Y Burke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932205556
PECOS PAC ID: 6709962368
Enrollment ID: I20130730000577
Provider NameHeidi Lynn Tyson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1174798292
PECOS PAC ID: 1658540521
Enrollment ID: I20131227000292
Provider NameMichael R Shrifter
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1750656161
PECOS PAC ID: 2668634312
Enrollment ID: I20140505000016
Provider NameMaxwell B Abbott
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174535090
PECOS PAC ID: 9234126814
Enrollment ID: I20140702001436
Provider NameEnrique Gomez Morayta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548417405
PECOS PAC ID: 8426221987
Enrollment ID: I20141023002567
Provider NameKathryn B. Snyder
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1922327626
PECOS PAC ID: 9931354578
Enrollment ID: I20150523000050
Provider NameTara L Heeney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700143039
PECOS PAC ID: 8426368408
Enrollment ID: I20151103001292
Provider NameNicholas Hanson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356568661
PECOS PAC ID: 2860582889
Enrollment ID: I20160129001615
Provider NameThomas Cullen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1124347117
PECOS PAC ID: 9739470220
Enrollment ID: I20160613002133
Provider NameYama Kharoti
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386961712
PECOS PAC ID: 0446405195
Enrollment ID: I20160629001917
Provider NameStacy Rudy
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154713188
PECOS PAC ID: 6204114184
Enrollment ID: I20161027001253
Provider NameRonald Wang-ho Kwong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609129022
PECOS PAC ID: 0648551432
Enrollment ID: I20170110003029
Provider NameJeffrey Woldrich
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1992960660
PECOS PAC ID: 7214188853
Enrollment ID: I20170213000622
Provider NameAmanda L Boice
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1760892848
PECOS PAC ID: 0547543498
Enrollment ID: I20170220001480
Provider NameTrisha Haskins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831517507
PECOS PAC ID: 1456638840
Enrollment ID: I20170512001610
Provider NameTyler Robert Moore
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710252036
PECOS PAC ID: 9537301627
Enrollment ID: I20170524001311
Provider NameKarina Hoan
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1407148844
PECOS PAC ID: 4284906355
Enrollment ID: I20170824000829
Provider NameMargie L Nielsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124557715
PECOS PAC ID: 6608132766
Enrollment ID: I20171107001132
Provider NameSusan E Passarelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154842805
PECOS PAC ID: 1456619980
Enrollment ID: I20171211001350
Provider NameYoung K Choi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1336122274
PECOS PAC ID: 4284611393
Enrollment ID: I20180406001914
Provider NameYasuyo Diana Umene
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407199094
PECOS PAC ID: 2769623289
Enrollment ID: I20180409001284
Provider NameRyan Moore
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659639557
PECOS PAC ID: 6002170248
Enrollment ID: I20180516000113
Provider NameVanessa M Welch-pemberton
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1700194149
PECOS PAC ID: 6507009180
Enrollment ID: I20181214001431
Provider NameSteve Joseph Noveshen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306977657
PECOS PAC ID: 4082634340
Enrollment ID: I20190401001684
Provider NameAhson Saeed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457743536
PECOS PAC ID: 3274889159
Enrollment ID: I20190709002043
Provider NameThomas Dudrey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376906669
PECOS PAC ID: 3971882440
Enrollment ID: I20190723000555
Provider NameLeanne Michelle Witek
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1982238069
PECOS PAC ID: 7618306531
Enrollment ID: I20200327002930
Provider NameDavid Prosser
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1174940126
PECOS PAC ID: 0345569372
Enrollment ID: I20200526002303
Provider NameJason Hedge
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053721258
PECOS PAC ID: 1254648223
Enrollment ID: I20200603001883
Provider NameBaier Rakowski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669865739
PECOS PAC ID: 2769734383
Enrollment ID: I20201020001013
Provider NameJack Charles Hamson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932633385
PECOS PAC ID: 2264773613
Enrollment ID: I20201030002491
Provider NameHelena L Pang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225418874
PECOS PAC ID: 2264791805
Enrollment ID: I20210114000524
Provider NameStephen Lynn Dehn
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477031730
PECOS PAC ID: 2365850302
Enrollment ID: I20210413000352
Provider NameKathryn Ann Stocking
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1558674333
PECOS PAC ID: 6204245426
Enrollment ID: I20210429000895
Provider NameLauren F Burke
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073006565
PECOS PAC ID: 0244649200
Enrollment ID: I20210504002881
Provider NameJake W Sharp
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1720465933
PECOS PAC ID: 0749597300
Enrollment ID: I20210507002470
Provider NamePeter A White
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1417341710
PECOS PAC ID: 2264748664
Enrollment ID: I20210615000770
Provider NameShelby Topp
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1689791923
PECOS PAC ID: 8022334622
Enrollment ID: I20210708001856
Provider NameKimberly N Bell
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235661802
PECOS PAC ID: 0244597672
Enrollment ID: I20210805003283
Provider NameJennifer C Moshman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194212092
PECOS PAC ID: 7810249927
Enrollment ID: I20210809001843
Provider NameEthan Birch Fram
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1851754337
PECOS PAC ID: 3476958927
Enrollment ID: I20210820001361
Provider NameAndrea Kathryn Kuebbing Mulligan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346511649
PECOS PAC ID: 6709279565
Enrollment ID: I20220131002519
Provider NameTomorrow Lynn Denton
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1720711401
PECOS PAC ID: 7012399413
Enrollment ID: I20220802001089
Provider NameKimia Ighani Newell
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1942841176
PECOS PAC ID: 4486081098
Enrollment ID: I20220831001896
Provider NameRyan James Viles
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1255925293
PECOS PAC ID: 0446627160
Enrollment ID: I20221108003463
Provider NameKatie Zenith Koehler Esser
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972045334
PECOS PAC ID: 3274903737
Enrollment ID: I20221228002204
Provider NameBrittany R Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669186912
PECOS PAC ID: 7911362728
Enrollment ID: I20230501002115
Provider NameTaylor Genevieve Hansen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053803916
PECOS PAC ID: 3577911841
Enrollment ID: I20231127002623
Provider NameAshley Crabb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295596492
PECOS PAC ID: 4981040532
Enrollment ID: I20240306001855
Provider NameChristine Hanson
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1801383773
PECOS PAC ID: 2668728999
Enrollment ID: I20240612003252
Provider NameMatthew Michael Klinewski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689415440
PECOS PAC ID: 7416495593
Enrollment ID: I20240820003901
Provider NameAllison M Skurka
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1093525792
PECOS PAC ID: 7416473418
Enrollment ID: I20250501002681
Provider NameSydney Parker Skutt
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1225803281
PECOS PAC ID: 9739605700
Enrollment ID: I20250502001159
Provider NameEric E Kline
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1841339884
PECOS PAC ID: 0244354462
Enrollment ID: I20251020002408
Provider NameGeorge Adesina
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457642647
PECOS PAC ID: 4981912086
Enrollment ID: I20260203001400
Provider NameKirsten Silvey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720284656
PECOS PAC ID: 8426228149
Enrollment ID: I20260204004194
Provider NameHalary Patch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255631248
PECOS PAC ID: 0840461018
Enrollment ID: I20260211001989

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. The Portland Clinic Llp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Portland Clinic Llp
800 Sw 13th Ave,
Portland, OR 97205

Ph: (503) 221-0161		The Portland Clinic Llp
800 Sw 13th Ave,
Portland, OR 97205

Ph: (503) 221-0161

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.