Individual provider Active NPI

Emily Ann Geyen, PA-C

  • Physician Assistant
  • Tigard, OR
National Provider Identifier
1194343640
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA200774 Issued in OR
Practice address
15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166
Phone
(503) 639-6002
NPI assigned
Jul 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA200774 OR Primary

Addresses

Primary practice location

15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166

Mailing address

15755 SW Sequoia Pkwy Ste 200
Tigard, OR 97224-7166
Phone (503) 639-6002

Other practice location 1

501 N Graham St Ste 445
Portland, OR 97227-2002
Phone (503) 944-6300

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
I20200916001671 OR Practitioner - Physician Assistant 5395163737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regenerative Orthopedic Center LLCGroup PAC ID 0749640597, 27 clinicians

Practice addresses (Care Compare)

15755 SW Sequoia Pkwy
Suite 200
Tigard, OR 97224-7166
Phone (503) 639-6002

6485 SW Borland Rd
Suite a
Tualatin, OR 97062-9762
Phone (503) 665-0836

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Legacy Silverton Medical Center Hospital, Silverton, OR, CCN 380029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regenerative Orthopedic Center LLC CurrentSince Oct 8, 2023 Accepting new patients
Regenerative Orthopedic Center LLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

1508 Division St
Ste 105
Oregon City, OR 97045
Phone (503) 656-0836

15755 SW Sequoia Pkwy
Ste 200
Tigard, OR 97224
Phone (503) 639-6002

7401 SW Washo Ct
Ste 100
Tualatin, OR 97062
Phone (503) 656-0836

6485 SW Borland Rd
Ste A
Tualatin, OR 97062
Phone (503) 665-0836

Organizations & group practices 2

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 4

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": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1194343640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15755 SW SEQUOIA PKWY STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247166",
            "telephone_number": "503-639-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15755 SW SEQUOIA PKWY STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247166",
            "telephone_number": "503-639-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 445",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272002",
            "country_code": "US",
            "telephone_number": "503-944-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEYEN",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA200774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.