Individual provider Active NPI

Patricia Lee Brandon, WHCNP, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1023098068
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33003N1 Issued in OR
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

Updated by the provider on Feb 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
33003N1ORMDFamily Nurse Practitioner
33003N7ORMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.