Individual provider Active NPI

Hanna Lou Allwein, PA-C

  • Medical Physician Assistant
  • Tigard, OR
National Provider Identifier
1073963013
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA192999 Issued in OR
Practice address
11958 SW Garden Place
Tigard, OR 97223
Phone
(503) 684-8252
Fax
(866) 859-8195
NPI assigned
Jun 21, 2016
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61034282 WA
Medical Physician Assistant 363AM0700X PA192999 OR Primary

Addresses

Primary practice location

11958 SW Garden Place
Tigard, OR 97223

Mailing address

11958 SW Garden Place
Tigard, OR 97223
Phone (503) 684-8252

Other names 1

  • Miss Hanna Lou Lauff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240907000436 OR Practitioner - Physician Assistant 1456639269 Reassigns benefits to 1 organization
I20240927002797 WA Practitioner - Physician Assistant 1456639269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

10221 SE Sunnyside Rd
Clackamas, OR 97015-9782
Phone (864) 664-3984

11956 SW Garden PL
Tigard, OR 97223-8248
Phone (503) 684-8252

1400 NE Alberta St
Portland, OR 97211-5044
Phone (864) 664-3984

1662 NW 23Rd Ave
Portland, OR 97210-2502
Phone (864) 664-3984

19220 Alderwood Mall Pkwy
Suite 145
Lynnwood, WA 98036-4819
Phone (864) 664-3984

202 NW 13TH Ave
Portland, OR 97209-2953
Phone (864) 664-3984

2510 Columbia House Blvd
Suite 107
Vancouver, WA 98661-7763
Phone (864) 664-3984

6910 SE Milwaukie Ave
Portland, OR 97202-5717
Phone (864) 664-3984

8179 N Lombard St
Portland, OR 97203-3130
Phone (864) 664-3984

902 SE 164TH Ave
Suite 400
Vancouver, WA 98683-9627
Phone (864) 664-3984

910 NE Tenney Rd
Suite 101
Vancouver, WA 98685-2838
Phone (864) 664-3984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53590CAMDPharmacist
PA61034282WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Zoomcare PC Past Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1073963013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11958 SW GARDEN PLACE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11958 SW GARDEN PLACE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLWEIN",
        "first_name": "HANNA",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61034282",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA192999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "LAUFF",
            "middle_name": "LOU",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.