MAI'ANA THERESA BAMBA FEUERBORN MD
NPI 1861134017
Family Medicine in Portland, OR

Q: What is Mai'ana Feuerborn's NPI number?

The NPI number for Mai'ana Feuerborn is 1861134017. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Mai'ana Feuerborn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mai'ana Feuerborn was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment

4920 N INTERSTATE AVE, PORTLAND, OR 97217(503) 215-3300(503) 215-3350 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 26, 2022, Apr 8, 2022 (2 updates tracked since 2022).

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About Mai'ana Theresa Bamba Feuerborn Md NPPES

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

MAI'ANA THERESA BAMBA FEUERBORN MD (NPI 1861134017) is an individual family medicine provider in Portland, Oregon, licensed in Oregon (MD225267) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Medical College Of Wisconsin (2022).

NPPES Registry Identity

NPI1861134017

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMAI'ANA THERESA BAMBA FEUERBORNCredential: MD

Location Address4920 N INTERSTATE AVEPortland, OR 97217-3653

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 215-3300

Fax(503) 215-3350

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2022

Enumeration DateApril 8, 2022

Last NPPES UpdateOctober 14, 20252 updates tracked since enumeration

NPPES CertifiedOctober 14, 2025

✔ NPI 1861134017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD225267

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.

4920 N INTERSTATE AVE, Portland, OR 97217

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mai'ana Theresa Bamba Feuerborn Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799165114

PECOS Enrollment IDI20250909004737

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.

Medicare Billing Reassignment

Medicare enrollment records show Mai'ana Feuerborn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Health & Services - Oregon

Same address

Family Medicine

4920 N INTERSTATE AVE
Portland, OR 97217

Reassigned Medicare billing, Oregon enrollment
1,501 clinicians in this Medicare group

NPI 1164522496 (503) 215-3300

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380061

Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97217 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

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

Most-billed visit code 99214

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 20

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

MATTHEW J BREEZE MD

Family Medicine