Individual provider Active NPI

Vandana H Rana, M.D.

  • Public Health & General Preventive Medicine Physician
  • Lake Oswego, OR
National Provider Identifier
1104952415
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD15791 Issued in OR
Practice address
17437 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-6202
Phone
(503) 305-6262
Fax
(503) 305-6078
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X MD15791 OR Primary

Addresses

Primary practice location

17437 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-6202

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other identifiers 1

IdentifierTypeStateIssuer
005376MedicaidOR

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060411000263 OR Practitioner - General Practice 0941219505 Reassigns benefits to 1 organization
I20250102002470 WA Practitioner - General Practice 0941219505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Providers PCGroup PAC ID 4284891243, shared by 2 NPIs, 43 clinicians

Practice addresses (Care Compare)

11675 SW Pacific Hwy
Tigard, OR 97223-8672
Phone (503) 305-6262

14278 SW Allen Blvd
Beaverton, OR 97005-4405
Phone (503) 305-6262

180 NE 192ND Ave
Suite 505
Vancouver, WA 98684-7525
Phone (503) 305-6262

397 Warner Milne Rd
Oregon City, OR 97045-4045
Phone (503) 305-6262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Providers PC Current Accepting new patients
Uptown Providers PC CurrentSince Dec 30, 2024 Accepting new patients
Uptown Providers PC CurrentSince Jan 15, 2012 Accepting new patients
Uptown Providers PC CurrentSince Jan 15, 2012 Accepting new patients
Uptown Providers PC Past Accepting new patients

Locations

14278 SW Allen Blvd
Beaverton, OR 97005

1071 SE Tualatin Valley Hwy
Hillsboro, OR 97123

17437 Boones Ferry Rd
Ste 100
Lake Oswego, OR 97035
Phone (503) 387-3796

397 Warner Milne Rd
Oregon City, OR 97045

6633 NE Sandy Blvd
Ste 11
Portland, OR 97213

6633 NE Sandy Blvd
Portland, OR 97213

25 NW 23rd Pl
Ste 11
Portland, OR 97210
Phone (503) 766-2215

8060 SW Pfaffle St
Ste 106
Tigard, OR 97223

11675 SW Pacific Hwy
Tigard, OR 97223

7500 NE 117th Ave
Vancouver, WA 98662

180 NE 192nd Ave
Ste 505
Vancouver, WA 98684

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1104952415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17437 BOONES FERRY RD STE 100",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356202",
            "telephone_number": "503-305-6262",
            "fax_number": "503-305-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANA",
        "first_name": "VANDANA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OR",
            "license": "MD15791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005376",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.