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NORTHWEST IV, LLC
NPI 1023596541
Nurse Practitioner - Family in Portland, OR

Active since August 06, 2018
6400 SE LAKE RD STE 155, PORTLAND, OR 97222(503) 447-3285(503) 917-4971 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2026, Dec 11, 2019, Aug 6, 2018 (3 updates tracked since 2018).

About Northwest Iv, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHWEST IV, LLC (NPI 1023596541), doing business as Evolve Health, is a healthcare organization registered as a family in Portland, Oregon and active in the NPI registry since August 2018. The organization lists John Perry, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1023596541
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNORTHWEST IV, LLC
Location Address6400 SE LAKE RD STE 155Portland, OR 97222-2137
Mailing Address6400 Se Lake Rd Ste 155Portland, OR 97222-2137 · (503) 447-3285 · Fax (503) 917-4971
Phone(503) 447-3285
Fax(503) 917-4971
Organization SubpartNo
Authorized OfficialJohn PerryManaging Director · (503) 447-3285
Enumeration DateAugust 6, 2018
Last NPPES UpdateFebruary 5, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1023596541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 201392160NP-PP
Also ListedAnesthesiologyTaxonomy 207L00000X · License MD22534 (OR)
Also ListedNurse PractitionerTaxonomy 363L00000X
6400 SE LAKE RD STE 155, Portland, OR 97222
Open in Google Maps ↗

Other Names 1

Doing Business AsEvolve Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUADALUPE CLEMENTINA GABBA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Clackamas County (971) 368-9292
JENNIFER ERIN BRAY F.N.P.
Nurse Practitioner (Family)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Clackamas County (503) 447-3285
SARAH JOY TAYLOR FNP
Nurse Practitioner (Family)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Clackamas County (503) 447-3285
JILL ANN CARTER DNP, PMHNP, FNP
Nurse Practitioner (Psychiatric/Mental Health)
6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Clackamas County (503) 447-3285

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest IV, LLC's NPI number?

The NPI number for Northwest IV, LLC is 1023596541. It was assigned to this organization in the NPPES registry on August 6, 2018. The provider is doing business as Evolve Health.

Where is Northwest IV, LLC located?

Northwest IV, LLC is located at 6400 SE Lake Rd Ste 155, Portland, OR 97222. The listed phone number is (503) 447-3285.

What is Northwest IV, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Northwest IV, LLC accept?

Health plans from Moda Health Plan, Inc. list Northwest IV, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest IV, LLC was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.