NPIMap

Individual provider Active NPI

Katrina McPherson, M.D.

  • Pediatrics Physician
  • Forest Grove, OR
National Provider Identifier
1174602247
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD29316 Issued in OR
Practice address
1825 Maple St
Forest Grove, OR 97116-1939
Phone
(503) 357-2136
NPI assigned
Nov 2, 2006
Last updated
Apr 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME89509 FL
Clinic/Center 261Q00000X MD29316 OR
Pediatrics Physician 208000000X MD29316 OR Primary

Addresses

Primary practice location

1825 Maple St
Forest Grove, OR 97116-1939

Mailing address

2265 Exchange St
Astoria, OR 97103-3331
Phone (503) 325-4321

Other practice location 1

2111 Exchange St
Astoria, OR 97103-3329
Phone (503) 325-4321 ext. 5860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190328000117 OR Practitioner - Pediatric Medicine 5496806150 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC Clinic/Center CurrentSince Feb 18, 2019 Accepting new patients
Tuality Healthcare Clinic/Center Current Accepting new patients
Tuality Medical Group LLC CurrentSince Feb 18, 2019 Accepting new patients
Columbia Lutheran Charities Clinic/Center Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Central City Concern, Inc PastSince Feb 17, 2023 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

1825 Maple St
Forest Grove, OR 97116
Phone (503) 357-2136

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

Interoperability endpoints

  • Direct secure messaging: kmcpherson111352@direct.ohsu.edu

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillsboro Medical CenterHillsboro, OR, CCN 380021 Hospital Corporate Officer
W-2 Managing Employee		 Jan 16, 2026
Jan 16, 2026
Tuality HealthcareHillsboro, OR, CCN 38S021 Hospital Corporate Officer
W-2 Managing Employee		 Jan 16, 2026
Jan 16, 2026
Central City Concern, Inc.Portland, OR, CCN 381811 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381914 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381984 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 931001 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381024 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381026 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381043 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381041 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381042 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381044 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381047 Federally qualified health center Corporate Director Feb 17, 2023
Central City Concern, Inc.Portland, OR, CCN 381052 Federally qualified health center Corporate Director Feb 17, 2023

Owned or controlled facilities with NPI records 25

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 25

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1174602247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 EXCHANGE ST",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033331",
            "telephone_number": "503-325-4321",
            "fax_number": "503-325-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 MAPLE ST",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161939",
            "telephone_number": "503-357-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 Exchange St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "OR",
            "postal_code": "971033329",
            "country_code": "US",
            "telephone_number": "503-325-4321 x5860",
            "fax_number": "503-325-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "KATRINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME89509",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "MD29316",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD29316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.