Active NPI
Patricia Lee Brandon, WHCNP, FNP
- Family Nurse Practitioner
- Portland, OR
National Provider Identifier
1023098068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33003N1
- Practice address
- 1427 NW Flanders St Ste a
Portland, OR 97209-2646 - Phone
- (503) 297-0235
- Fax
- (150) 337-9152
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 33003N1 | OR | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 33003N7 | OR |
Addresses
Primary practice location
1427 NW Flanders St Ste a
Portland, OR 97209-2646
Mailing address
1427 NW Flanders St Ste a
Portland, OR 97209-2646
Phone (503) 297-0235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33003N1 | OR | MD | Family Nurse Practitioner |
| 33003N7 | OR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Primary Care Group, PC | Family | Past | Accepting new patients |
| Westover Heights Clinic | Past | Accepting new patients | |
| Clinicops, LLC | Family | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Portland, OR
- NPI 1275821266
-
- Family Medicine Physician
- Milwaukie, OR
- NPI 1558572180
-
- Internal Medicine Physician
- Portland, OR
- NPI 1306019815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1023098068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1427 NW FLANDERS ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092646",
"telephone_number": "503-297-0235",
"fax_number": "150-337-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1427 NW FLANDERS ST STE A",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092646",
"telephone_number": "503-297-0235",
"fax_number": "150-337-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "PATRICIA",
"middle_name": "LEE",
"credential": "WHCNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "33003N1",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OR",
"license": "33003N7",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.