Austin Alexander, PA-C
Individual provider Active NPI Physician Assistant · Beaverton, OR
NPI 1003481250 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1003481250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435 - Phone
- (503) 352-6000
- Fax
- (503) 352-6080
- NPI assigned
- May 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Garcia Memorial Health Center
Practice addresses (Care Compare)
2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000
Hospital & facility affiliations
- Providence St Vincent Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210706003065 | OR | Practitioner - Physician Assistant | 2961804448 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Garcia Memorial Health Center | Past | Accepting new patients |
Interoperability endpoints
- aalexander254499@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435
Mailing address
PO Box 6149
Aloha, OR 97007-0149
Phone (503) 352-8657
Other providers in Beaverton, OR
- Ruben Isaias Alcazar
- Skyla Alcon
- Mark Daniel Alder
- Denise Marie Aldridge
- Aleksandr Yanchuk DMD LLC
- Alexis Ali LLC
- Leah Alfano
- Jego Miguel Lim Alfonso
- Alexis Ali
- Angela Marie Alipio
All providers in Beaverton, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.