Carlee Anne Beckler, MD
Individual provider Active NPI Pediatrics Physician · Portland, OR
NPI 1104453232 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1104453232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD214787 (OR)
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098 - Phone
- (503) 494-8211
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230505001610 | OR | Practitioner - Pediatric Medicine | 8325461775 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Pediatrics | Current |
Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Past | Accepting new patients |
Locations
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD214787 | OR | Yes |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone (503) 494-8211
Other practice location 1
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042
Other providers in Portland, OR
- Brooke Renee Beckett
- Catherine Beckett
- Lauren Nicole Beckett
- Sarka Beckett
- Kellan Beckham
- Jennifer M Beckley Hays
- Ethan Beckley
- Michael Alan Becklund
- Kayla Beckman
- Mary Elyse Beckman
All providers in Portland, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.