Individual provider Active NPI

Jonathan Hattenhauer, D.O.

  • Gastroenterology Physician
  • Milwaukie, OR
National Provider Identifier
1013302348
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO203654 Issued in OR
Practice address
10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone
(503) 215-5895
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OP61629049 WA
Gastroenterology Physician 207RG0100X DO203654 OR Primary

Addresses

Primary practice location

10150 SE 32ND Ave
Milwaukie, OR 97222-6516

Mailing address

PO Box 31001-4180
Pasadena, CA 91110-4180
Phone (503) 215-6494

Other practice location 1

891 G Ave
Lake Oswego, OR 97034-2258
Phone (503) 913-3977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210713003506 OR Practitioner - Internal MedicinePractitioner - Gastroenterology 4880963206 Reassigns benefits to 2 organizations
I20250418001358 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 4880963206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9739092065, 101 clinicians
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

2312 NE 129TH St
Vancouver, WA 98686-3236
Phone (360) 546-8000

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (360) 514-1734

505 NE 87TH Ave
Vancouver, WA 98664-1965

8821 NE 5TH St
Vancouver, WA 98664-3200
Phone (360) 514-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy46
Upper gastrointestinal (GI) endoscopy for acid reflux103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO203654ORMDGastroenterology Physician
OP61629049WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Mar 11, 2025 Accepting new patients
Peacehealth CurrentSince May 29, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Peacehealth CurrentSince May 29, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 28, 2025 Accepting new patients
Yakima Valley Memorial Physicians Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Mar 11, 2025 Accepting new patients
Corvallis Gastroenterology PC CurrentSince Aug 1, 2021 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 28, 2025 Accepting new patients

Locations

631 Elm St SW
Ste 204
Albany, OR 97321
Phone (541) 812-4605

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

3521 NW Samaritan Dr
Ste 101
Corvallis, OR 97330
Phone (541) 768-6119

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

2312 NE 129th St
Vancouver, WA 98686
Phone (360) 546-8950

505 NE 87th Ave
Ste 250
Vancouver, WA 98664
Phone (360) 514-1010

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: jhattenhauer831567@direct.multicare.org
  • Direct secure messaging: jhattenhauer774521@direct.peacehealth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1013302348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-4180",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911104180",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 SE 32ND AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226516",
            "telephone_number": "503-215-5895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "891 G Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970342258",
            "country_code": "US",
            "telephone_number": "503-913-3977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTENHAUER",
        "first_name": "JONATHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "OP61629049",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "DO203654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.