Active NPI
Corneliu Volosen, ARNP
- Nurse Practitioner
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10025666
- Practice address
- 6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487 - Phone
- (503) 430-1777
- NPI assigned
- Apr 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61077703 | WA | |
| Nurse Practitioner | 363L00000X | AG030200045 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | AP61077703 | WA | |
| Nurse Practitioner | 363L00000X | 10025666 | OR | Primary |
Addresses
Primary practice location
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Mailing address
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Phone (503) 430-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217640 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Texas Medical Branch at Galveston, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 SE Oak St
Hillsboro, OR 97123-4120
Phone (503) 648-8588
6800 SW 105TH Ave
Beaverton, OR 97008-5487
801 SE Park Crest Ave
Vancouver, WA 98683-1300
Phone (360) 260-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG030200045 | TX | MD | Nurse Practitioner |
| AP61077703 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRM Physicians, LLC | Nurse Practitioner | Current | Accepting new patients |
| Olympic View Chiropractic, PS | Current | Accepting new patients | |
| On-Site Massage, Inc. | Past | Accepting new patients |
Locations
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
626 128th St SW
Ste 103B
Everett, WA 98204
Phone (425) 513-1880
801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879
Organizations & group practices 5
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.
-
- Chiropractor
- Everett, WA
- NPI 1093984486
-
- Physician Assistant
- Bellevue, WA
- NPI 1750754883
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1467054924
-
- Specialist
- Everett, WA
- NPI 1558531590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1033738455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777",
"fax_number": "503-372-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLOSEN",
"first_name": "CORNELIU",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-15",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61077703",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AG030200045",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP61077703",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "10025666",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217640",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.