Individual provider Active NPI

Haley A Parson, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1104507946
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10029957 Issued in OR
Practice address
1130 NW 22ND Ave Ste LL10
Portland, OR 97210-2974
Phone
(503) 413-6050
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10029957 OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave Ste LL10
Portland, OR 97210-2974

Mailing address

PO Box 3808
Portland, OR 97208-3808
Phone (503) 413-3900

Other practice location 1

417 SW 117th Ave Ste 200
Portland, OR 97225-5924
Phone (503) 216-9400

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822001734 OR Practitioner - Nurse Practitioner 1759820707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

417 SW 117TH Ave
Suite 200
Portland, OR 97225-5924
Phone (503) 216-1800

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Sep 9, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Sep 9, 2024 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

417 SW 117th Ave
Ste 200
Portland, OR 97225
Phone (503) 216-1800

9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1104507946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3808",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083808",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE LL10",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102974",
            "telephone_number": "503-413-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 SW 117th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972255924",
            "country_code": "US",
            "telephone_number": "503-216-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSON",
        "first_name": "HALEY",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10029957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.