Individual provider Active NPI

Morgan Lu

  • Nurse Practitioner
  • Portland, OR
National Provider Identifier
1053004630
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61481461 Issued in WA
Practice address
111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512
Phone
(866) 901-4860
NPI assigned
May 31, 2023
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61481461 WA Primary
Registered Nurse 163W00000X RN61447768 WA

Addresses

Primary practice location

111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512

Mailing address

111 SW Naito Pkwy Ste 200
Portland, OR 97204-3512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, OH, CO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230929003291 WA Practitioner - Nurse Practitioner 1355795915 Reassigns benefits to 2 organizations
I20250903003651 OR Practitioner - Nurse Practitioner 1355795915 Reassigns benefits to 1 organization
I20250909003325 OH Practitioner - Nurse Practitioner 1355795915 Reassigns benefits to 1 organization
I20260422003434 CO Practitioner - Nurse Practitioner 1355795915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

1109 Oak Park Dr
Suite 125
Fort Collins, CO 80525-6215
Phone (888) 288-4715

111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

915 Broadway St
Suite 137
Vancouver, WA 98660-3278
Phone (503) 208-5061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN61447768WAMDRegistered Nurse
AP61481461WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services CurrentSince Sep 11, 2023 Accepting new patients
International Community Health Services Nurse Practitioner Current Accepting new patients
Boulder Care Provider Group PA CurrentSince May 1, 2025 Accepting new patients
International Community Health Services CurrentSince Sep 11, 2023 Accepting new patients

Locations

1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3757

16549 Aurora Ave N
Shoreline, WA 98133
Phone (206) 533-2600

915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061

Networks

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

Interoperability endpoints

  • Direct secure messaging: morgan.lu.1@27166.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1053004630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SW NAITO PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SW NAITO PKWY STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043512",
            "telephone_number": "866-901-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61481461",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61447768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.