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PARKROSE VISION, LLC
NPI 1144847260
Clinic/Center in Portland, OR

Active since July 06, 2020
4880 NE 104TH AVE, PORTLAND, OR 97220(503) 943-0699 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkrose Vision, Llc NPPES

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

PARKROSE VISION, LLC (NPI 1144847260) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since July 2020. The organization lists Haley Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1144847260
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePARKROSE VISION, LLC
Location Address4880 NE 104TH AVEPortland, OR 97220
Mailing Address15470 Se Baden Powell RdHappy Valley, OR 97086-6049 · (503) 819-1807 · Fax (503) 432-8402
Phone(503) 943-0699
Organization SubpartYesParent: M. Kwon. P.c., Inc.
Authorized OfficialHaley KimOwner · (503) 432-8452
Enumeration DateJuly 6, 2020
Last NPPES UpdateMay 22, 2024
NPPES CertifiedMay 22, 2024
✔ NPI 1144847260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4880 NE 104TH AVE, Portland, OR 97220
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Other Identifiers 1

Medicaid500784142OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

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

HALEY KIM OD
Optometrist
4880 NE 104TH AVE
PORTLAND, OR 97220
Multnomah County (503) 432-8452

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 Parkrose Vision, LLC's NPI number?

The NPI number for Parkrose Vision, LLC is 1144847260. It was assigned to this organization in the NPPES registry on July 6, 2020.

Where is Parkrose Vision, LLC located?

Parkrose Vision, LLC is located at 4880 NE 104th Ave, Portland, OR 97220. The listed phone number is (503) 943-0699.

What is Parkrose Vision, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Parkrose Vision, LLC accept?

Health plans from BlueCross BlueShield of Tennessee, BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Parkrose Vision, 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 Parkrose Vision, LLC was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.