Individual provider Active NPI

Ilana Pena-Gonzalez, CNM

  • Advanced Practice Midwife
  • Hillsboro, OR
National Provider Identifier
1083336887
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
10015055 Issued in OR
Practice address
333 SE 7TH Ave Ste 5500
Hillsboro, OR 97123-4185
Phone
(503) 359-5564
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 10015055 OR Primary

Addresses

Primary practice location

333 SE 7TH Ave Ste 5500
Hillsboro, OR 97123-4185

Mailing address

9155 SW Barnes Rd Ste 730
Portland, OR 97225-6634
Phone (503) 216-4033

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231105000032 OR Practitioner - Certified Nurse Midwife (CNM) 2264889757 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
10015055ORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Oct 13, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Oct 13, 2023 Accepting new patients
Tuality Medical Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Tuality Medical Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Virginia Garcia Memorial Health Center Past Accepting new patients

Locations

333 SE 7th Ave
Ste 5500
Hillsboro, OR 97123
Phone (503) 597-4500

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

9155 SW Barnes Rd
Ste 730
Portland, OR 97225
Phone (503) 216-4033

Interoperability endpoints

  • Direct secure messaging: ipenasanders109523@direct.ohsu.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1083336887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD STE 730",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256634",
            "telephone_number": "503-216-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SE 7TH AVE STE 5500",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234185",
            "telephone_number": "503-359-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA-GONZALEZ",
        "first_name": "ILANA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "10015055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.