NPIMap

Organization Active NPI

Outside in

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1063230480
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
OUTSIDE IN
Practice address
1195 SW 11TH Ave
Portland, OR 97205-2006
Phone
(503) 535-3800
NPI assigned
Oct 3, 2024
Last updated
Aug 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
OUTSIDE INAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Bill Aronson
Title
Interim Associate Executive Directr
Phone
(503) 278-2514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1195 SW 11TH Ave
Portland, OR 97205-2006

Mailing address

1132 SW 13TH Ave
Portland, OR 97205-1703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170919002919 OR Part B Supplier - Clinic/Group Practice 9638256662 Receives reassigned benefits from 17 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Clackamas, OR
O20260211002477 OR Part A Provider - Federally Qualified Health Center (FQHC) 9638256662 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063230480. Details of each certification follow.

Federally qualified health center certification: CCN 381055

Legal name
OUTSIDE IN
Doing business as
OCHIN, INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 4, 2026
Last certification
Feb 4, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1195 SW 11TH Ave
Portland, OR 97205-2006

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Outside in
    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1275280729

    9638256662

    Same PAC ID
  • Outside in
    • Federally Qualified Health Center (FQHC)
    • Clackamas, OR
    • NPI 1306594445

    9638256662

    Same PAC ID
  • Outside in
    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1477005619

    9638256662

    Same PAC ID
  • Outside in
    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1568401347

    9638256662

    Same PAC ID
  • Outside in
    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1619663697

    9638256662

    Same PAC ID
  • Outside in

    dba Non Profit

    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1972124196

    9638256662

    Same PAC ID

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Outside in10 organizations share this tax ID, including this one
Part of
Outside in

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6130 SE Foster Rd
Portland, OR 97206
Phone (503) 535-3800

8800 SE 80th Ave
Portland, OR 97206
Phone (503) 535-3860

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Stefanie Harmon Individual Corporate DirectorBoard Member (Volunteer) Nov 18, 2025
Chelsea Peterson Individual Corporate DirectorBoard Member (Volunteer) Jan 21, 2025
Joe Chapman Individual Corporate DirectorBoard Member (Volunteer) Mar 16, 2021
Heather Reppeto Individual Corporate OfficerChief Executive Officer Sep 2, 2025
Theresa Oleary Individual Corporate DirectorBoard Member (Volunteer) Dec 1, 2023
Hannah Hoffman Individual Corporate DirectorBoard Member (Volunteer) Apr 19, 2022
Tina Kirk Individual Corporate OfficerChief Financial Officer Sep 3, 2024
Kareen Suzuki Leavens Individual Corporate DirectorBoard Member (Volunteer) Nov 18, 2025
John Karp-Evans Individual Corporate DirectorBoard Member (Volunteer) Mar 1, 2021
Jamie Curry Individual Corporate OfficerDeputy Chief Executive Officer Dec 16, 2025
Jenna Wilson Crain Individual Corporate OfficerChief Clinical Services Officer Dec 16, 2025
Diana Antoniskis Individual Corporate DirectorBoard Member (Volunteer) Jul 1, 2024
Callum Auer Individual Corporate DirectorBoard Member (Volunteer) Oct 15, 2024
Laura Ruedinger Individual W-2 Managing EmployeeCompliance Manager May 1, 2018
Michael S Alberts Individual Corporate DirectorBoard Member (Volunteer) Aug 19, 2025
Matthew Eide Individual Corporate DirectorBoard Member (Volunteer) Aug 19, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ochin, Inc.Portland, OR, CCN 931013 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 1, 2020
Aug 1, 2020
Outside inPortland, OR, CCN 381005 Federally qualified health center Operational/Managerial Control (100%) Apr 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Outside in
    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1275280729

    Operational/Managerial Control

    CMS ownership
  • Outside in

    dba Non Profit

    • Federally Qualified Health Center (FQHC)
    • Portland, OR
    • NPI 1972124196

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1063230480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 SW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052006",
            "telephone_number": "503-535-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE IN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUTSIDE IN",
        "enumeration_date": "2024-10-03",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "ARONSON",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "INTERIM ASSOCIATE EXECUTIVE DIRECTR",
        "authorized_official_telephone_number": "503-278-2514"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.