NPIMap

Individual provider Active NPI

Honey E.L. Marques, PA

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1124210778
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
16279 SE Division St
Portland, OR 97236-1971
Phone
(503) 761-6111
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

16279 SE Division St
Portland, OR 97236-1971

Mailing address

8122 SE Tibbetts St
Portland, OR 97206-1768
Phone (503) 255-1111

Other identifiers 1

IdentifierTypeStateIssuer
071290-01MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130926000513 OR Practitioner - Physician Assistant 3971598830 Reassigns benefits to 2 organizations
I20250102003032 WA Practitioner - Physician Assistant 3971598830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxem Health Urgent Care Lake OswegoGroup PAC ID 9830583905, 7 clinicians

Practice addresses (Care Compare)

10582 SE 32ND Ave
Milwaukie, OR 97222-6522
Phone (503) 344-6432

17437 Boones Ferry Rd
Suite 100
Lake Oswego, OR 97035-6202
Phone (503) 387-3796

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
92.1
Improvement activities
40
Cost
80.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
217HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Providers PC CurrentSince Jul 15, 2024 Accepting new patients
Uptown Providers PC CurrentSince Jul 15, 2024 Accepting new patients
Columbia Pharmacy LLC PastSince Jun 21, 2020 Accepting new patients
Med 97 LLC Past Accepting new patients
Southwest Urgent Care, PLC. Past Accepting new patients
Ucxtra Umbrella, LLC Past Accepting new patients
Center for Physical Medicine & Rehabilitation P C Past Accepting new patients

Locations

14278 SW Allen Blvd
Beaverton, OR 97005

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

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

8060 SW Pfaffle St
Ste 106
Tigard, OR 97223

180 NE 192nd Ave
Ste 505
Vancouver, WA 98684

Organizations & group practices 10

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1124210778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 SE TIBBETTS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972061768",
            "telephone_number": "503-255-1111",
            "fax_number": "503-777-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16279 SE DIVISION ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361971",
            "telephone_number": "503-761-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "HONEY",
        "middle_name": "E.L.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071290-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.