NPIMap

Individual provider Active NPI

Courtney Janice Lauer

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1194493924
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA217851 Issued in OR
Practice address
6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone
(503) 300-4111
NPI assigned
Sep 6, 2021
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 PA217851 OR Primary

Addresses

Primary practice location

6924 NE Sandy Blvd
Portland, OR 97213-5256

Mailing address

6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone (503) 300-4111

Other practice location 1

2935 SW Cedar Hills Blvd Ste 100
Beaverton, OR 97005-1342
Phone (503) 300-4111

Other practice location 2

7215 SE Milwaukie Ave
Portland, OR 97202-6103
Phone (503) 300-4111

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
I20240619001739 OR Practitioner - Physician Assistant 9638612583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Jul 1, 2024 Accepting new patients
Pacific Crest Childrens Urgent Care LLC CurrentSince Feb 18, 2024 Accepting new patients
Oregon Health & Science University CurrentSince Jul 1, 2024 Accepting new patients
University Professional Services CurrentSince Jul 1, 2024 Accepting new patients
University Professional Services Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 300-4111

3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900

6924 NE Sandy Blvd
Portland, OR 97213
Phone (503) 300-4111

7215 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 300-4111

Interoperability endpoints

  • Direct secure messaging: clauer140412@direct.ohsu.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1194493924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135256",
            "telephone_number": "503-300-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6924 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972135256",
            "telephone_number": "503-300-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2935 SW Cedar Hills Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051342",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7215 SE Milwaukie Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026103",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "COURTNEY",
        "middle_name": "JANICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA217851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.