Individual provider Active NPI

Jennifer Marie Byrne, D.O.

  • Family Medicine Physician
  • Troutdale, OR
National Provider Identifier
1023032919
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO26691 Issued in OR
Practice address
2800 SW 257TH Ave
Troutdale, OR 97060-1803
Phone
(503) 667-7711
Fax
(503) 669-8328
NPI assigned
Jul 26, 2006
Last updated
Sep 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO26691 OR Primary

Addresses

Primary practice location

2800 SW 257TH Ave
Troutdale, OR 97060-1803

Mailing address

2800 SW 257TH Ave
Troutdale, OR 97060-1803

Other identifiers 1

IdentifierTypeStateIssuer
278769MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000178 OR Practitioner - Family Practice 8022018688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia View Family Health Center P CGroup PAC ID 5193713683, 6 clinicians

Practice addresses (Care Compare)

2800 SW 257TH Ave
Troutdale, OR 97060-1803
Phone (503) 667-7711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia View Family Health Center P C Family Medicine CurrentSince Jul 10, 2006 Accepting new patients

Locations

2800 SW 257th Ave
Troutdale, OR 97060
Phone (503) 667-7711

Networks

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

Interoperability endpoints

  • Direct secure messaging: jennifer.byrne@211256354537476.direct.elationemr.com

Organizations & group practices 1

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 5

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1023032919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH AVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SW 257TH AVE",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970601803",
            "telephone_number": "503-667-7711",
            "fax_number": "503-669-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO26691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278769",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troutdale, OR

Sources for this page

Verify at the official NPI Registry.