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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRAHAM WILLIAM PARKS
NPI 1508758699
Physician Assistant in Gresham, OR

Active since July 15, 2025PECOS Enrolled
24900 SE STARK ST STE 205, GRESHAM, OR 97030(503) 665-1010 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 12, 2026, Jul 28, 2026 (2 updates tracked since 2026).

About Graham William Parks NPPES

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

GRAHAM WILLIAM PARKS (NPI 1508758699) is an individual physician assistant in Gresham, Oregon and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508758699
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGRAHAM WILLIAM PARKS
Location Address24900 SE STARK ST STE 205Gresham, OR 97030-3382
Mailing Address3720 S Bond Ave Unit 1210Portland, OR 97239-4574 · (859) 213-6713
Phone(503) 665-1010
Sole ProprietorNo
Enumeration DateJuly 15, 2025
Last NPPES UpdateSeptember 12, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1508758699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
24900 SE STARK ST STE 205, Gresham, OR 97030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graham William Parks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

ALLISON EVANS PA-C
Family Medicine
24900 SE STARK ST STE 205
GRESHAM, OR 97030
Multnomah County (503) 665-1010
PAUL PODETT M.D.
Family Medicine
24900 SE STARK ST STE 205
GRESHAM, OR 97030
Multnomah County (503) 665-1010
CRAIG STEVEN HAGGETT MSN, FNP
Nurse Practitioner (Primary Care)
24900 SE STARK ST STE 205
GRESHAM, OR 97030
Multnomah County (503) 665-1010
TENZIN TSERING LAMA
Nurse Practitioner (Primary Care)
24900 SE STARK ST STE 205
GRESHAM, OR 97030
Multnomah County (503) 665-1010
JOHN T EARLY FNP-C
Nurse Practitioner (Family)
24900 SE STARK ST STE 205
GRESHAM, OR 97030
Multnomah County (503) 665-1010

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 Graham Parks's NPI number?

The NPI number for Graham Parks is 1508758699. It was assigned to this individual provider in the NPPES registry on July 15, 2025.

Where is Graham Parks located?

Graham Parks practices at 24900 SE Stark St Ste 205, Gresham, OR 97030. The listed phone number is (503) 665-1010.

What is Graham Parks's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Graham Parks enrolled in Medicare?

Yes. Graham Parks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Graham Parks was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.