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ADVENTIST HEALTH PORTLAND
NPI 1215910302
Family Medicine in Portland, OR

Active since November 22, 2005
10000 SE MAIN ST, SUITE 116, PORTLAND, OR 97216(503) 251-6354(503) 251-6286 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2022, Jan 8, 2020, May 22, 2018 and 1 more (4 updates tracked since 2017).

About Adventist Health Portland NPPES

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

ADVENTIST HEALTH PORTLAND (NPI 1215910302) is a healthcare organization registered as a family medicine in Portland, Oregon and active in the NPI registry since November 2005. The organization lists Kyle King, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215910302
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORTLAND ADVENTIST MEDICAL CENTER
Location Address10000 SE MAIN ST, SUITE 116Portland, OR 97216
Mailing AddressPo Box 888918Los Angeles, CA 90088-8918 · (503) 261-6085
Phone(503) 251-6354
Fax(503) 251-6286
Organization SubpartYes
Authorized OfficialKyle KingCeo · (503) 251-6842
Enumeration DateNovember 22, 2005
Last NPPES UpdateJanuary 6, 20224 updates tracked since enumeration
NPPES CertifiedOctober 26, 2021
✔ NPI 1215910302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · 14 1127
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency Medicine · Undersea and Hyperbaric MedicineTaxonomy 207PE0005X · License 14 1127 (OR)
Also ListedInternal MedicineTaxonomy 207R00000X · License 14 1127 (OR)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 14 1127 (OR)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 14 1127 (OR)
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 14 1127 (OR)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 14 1127 (OR)
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X · License 14 1127 (OR)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 14 1127 (OR)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 14 1127 (OR)
Also ListedHospitalistTaxonomy 208M00000X · License 14 1127 (OR)
10000 SE MAIN ST, Portland, OR 97216
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Other Names 1

Doing Business AsAdventist Health Portland

Other Identifiers 4

Other0127633WA · Wa Labor & Industries
OtherCH2083WA · Railroad Medicare Wa Clin
Other0201918WA · Wa L&i (occmed Clinic)
OtherCI4927OR · Railroad Medicare Or Clin

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adventist Health Portland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

137

Medicare enrollment records show 137 clinicians reassign Medicare billing to Adventist Health Portland, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 128 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 20

Hospitalist29
Emergency Medicine21
Family Practice13
Nurse Practitioner13
Internal Medicine8
Certified Nurse Midwife (CNM)7
General Surgery7
Obstetrics/Gynecology7
12 other specialties32

Nearest to this location (20)

See all 137
Breanna Baraff, FNP
Nurse Practitioner
NPI 1336783190
10000 SE MAIN ST STE 128
Portland, OR 97216
(503) 261-5950
✔ PECOS✔ Accepts MedicareSame address
Wesley Rippey, M.D.
General Surgery
NPI 1548221948
10000 SE MAIN ST SUITE 316
Portland, OR 97216
(503) 256-1575
✔ PECOS✔ Accepts MedicareSame address
Frances Ting, M.D.
General Surgery
NPI 1649220377
10000 SE MAIN ST SUITE 316
Portland, OR 97216
(503) 256-1575
✔ PECOS✔ Accepts MedicareSame address
Ellerey Nelson, NURSE PRACTITIONER
Nurse Practitioner
NPI 1073185815
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Fawaz Alhumaid, M.D.
Cardiac Electrophysiology
NPI 1255515938
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Erin Boehm, MD
Cardiovascular Disease (Cardiology)
NPI 1164788808
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Richard Brandes, MD
Gastroenterology
NPI 1750420766
10000 SE MAIN ST STE 112
Portland, OR 97216
(503) 255-3054
✔ PECOS✔ Accepts MedicareSame address
Chad Carr, M.D.
Cardiovascular Disease (Cardiology)
NPI 1912119603
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Ronald Chelsky, M.D.
Cardiovascular Disease (Cardiology)
NPI 1851383707
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Jonathan Chun, MD
General Surgery
NPI 1396777926
10000 SE MAIN ST STE 316
Portland, OR 97216
(503) 256-1575
✔ PECOS✔ Accepts MedicareSame address
Stephen Crook, M.D.
General Surgery
NPI 1841251832
10000 SE MAIN ST STE 316
Portland, OR 97216
(503) 256-1575
✔ PECOS✔ Accepts MedicareSame address
Elliot Dobkin, DO
General Surgery
NPI 1124423785
10000 SE MAIN ST STE 316
Portland, OR 97216
(503) 256-1575
✔ PECOS✔ Accepts MedicareSame address
Daniel Feldman, MD
Interventional Cardiology
NPI 1033351093
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Michael Gardner, MD
Cardiovascular Disease (Cardiology)
NPI 1427410117
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Mark Hart, M.D.
Cardiovascular Disease (Cardiology)
NPI 1134111669
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Brian Moyers, MD
Cardiac Electrophysiology
NPI 1922274828
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Haley Pacholec, FNP-C
Nurse Practitioner
NPI 1750023826
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Rachel Riedel, ANP-BC
Nurse Practitioner
NPI 1780940064
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Joshua Roark, M.D.
Interventional Cardiology
NPI 1619389368
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
Judd Salamat, D.O.
Interventional Cardiology
NPI 1912139411
10000 SE MAIN ST STE 60
Portland, OR 97216
(503) 257-0959
✔ PECOS✔ Accepts MedicareSame address
See all 137 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Portland Adventist Medical Center's NPI number?

The NPI number for Portland Adventist Medical Center is 1215910302. It was assigned to this organization in the NPPES registry on November 22, 2005. The provider is doing business as Adventist Health Portland.

Where is Portland Adventist Medical Center located?

Portland Adventist Medical Center is located at 10000 SE Main St Suite 116, Portland, OR 97216. The listed phone number is (503) 251-6354.

What is Portland Adventist Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Portland Adventist Medical Center enrolled in Medicare?

Yes. Portland Adventist Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portland Adventist Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 137 clinicians in 20 Medicare specialties reassign their Medicare billing to Portland Adventist Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Hospitalist (29), Emergency Medicine (21) and Family Practice (13). Of these, 21 practice at this address and 128 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Portland Adventist Medical Center was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.