Active NPI
Lauren F Burke, PA
- Physician Assistant
- Beaverton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA203577
- Practice address
- 15950 SW Millikan Way
Beaverton, OR 97003-5170 - Phone
- (503) 643-7459
- NPI assigned
- Jun 11, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA203577 | OR | Primary |
Addresses
Primary practice location
15950 SW Millikan Way
Beaverton, OR 97003-5170
Mailing address
800 SW 13TH Ave
Portland, OR 97205-1999
Phone (503) 221-0161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10221 SE Sunnyside Rd
Clackamas, OR 97015-9782
Phone (864) 664-3984
11355 SW Scholls Ferry Rd
Beaverton, OR 97008-7167
Phone (864) 664-3984
11956 SW Garden PL
Tigard, OR 97223-8248
Phone (503) 684-8252
7855 SW Capitol Hwy
Portland, OR 97219-2465
Phone (864) 664-3984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Clinic | Current | Accepting new patients | |
| Zoomcare PC | Past | Accepting new patients | |
| Zoomcare Urgent Care LLC | Past | Accepting new patients |
Locations
15950 SW Millikan Way
Beaverton, OR 97003
Phone (503) 646-0161
800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161
9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
Interoperability endpoints
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
- lauren.burke.1@30646.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.
-
dba Zoom Management
- General Practice Physician
- Tigard, OR
- NPI 1023582178
-
- Internal Medicine Physician
- Portland, OR
- NPI 1558379099
-
- Urgent Care Clinic/Center
- Lake Oswego, OR
- NPI 1376225813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1073006565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SW 13TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972051999",
"telephone_number": "503-221-0161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15950 SW MILLIKAN WAY",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970035170",
"telephone_number": "503-643-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "LAUREN",
"middle_name": "F",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2021-04-02",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA203577",
"primary": true
}
],
"identifiers": [],
"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 Apr 2, 2021; 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.