Individual provider Active NPI

Daniel Joseph Bristow, M.D.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1205152832
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD157362 Issued in OR
Practice address
10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514
Phone
(503) 966-5417
Fax
(503) 662-1154
NPI assigned
Apr 7, 2010
Last updated
Aug 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60626573 WA
Psychiatry Physician 2084P0800X C161420 CA
Psychiatry Physician 2084P0800X MD157362 OR Primary

Addresses

Primary practice location

10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514

Mailing address

10260 SW Greenburg Rd Ste 400
Portland, OR 97223-5514
Phone (503) 966-5417

Other practice location 1

701 NE 136th Ave Ste 200
Vancouver, WA 98684-6937
Phone (503) 966-5417

Other practice location 2

2635 Zanker Rd
San Jose, CA 95134-2107
Phone (503) 966-5417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20120904000373 OR Practitioner - Psychiatry 2062669609 Reassigns benefits to 1 organization
I20170720001853 WA Practitioner - Psychiatry 2062669609 Reassigns benefits to 1 organization
I20231102003755 CA Practitioner - Psychiatry 2062669609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
CaminarGroup PAC ID 0143374454, 7 clinicians

Practice addresses (Care Compare)

2635 Zanker Rd
San Jose, CA 95134-2107
Phone (408) 292-9353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C161420CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 6, 2016 Accepting new patients
Caminar Current Accepting new patients
County of Kern Psychiatry CurrentSince Sep 28, 2023 Accepting new patients
Daniel Bristow MD LLC Current Accepting new patients
County of Kern Psychiatry Current Accepting new patients
Caminar CurrentSince Jun 10, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Mar 25, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Apr 6, 2016 Accepting new patients
Caminar Past Accepting new patients

Locations

1600 E Belle Ter
Bakersfield, CA 93307
Phone (661) 635-2950

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

2635 Zanker Rd
San Jose, CA 95134
Phone (408) 841-4102

411 Borel Ave
Ste 101
San Mateo, CA 94402
Phone (650) 372-4080

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

10260 SW Greenburg Rd
Ste 400
Tigard, OR 97223
Phone (208) 996-3519

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1205152832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-966-5417",
            "fax_number": "503-662-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-966-5417",
            "fax_number": "503-662-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 NE 136th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846937",
            "country_code": "US",
            "telephone_number": "503-966-5417",
            "fax_number": "503-662-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2635 Zanker Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951342107",
            "country_code": "US",
            "telephone_number": "503-966-5417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISTOW",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60626573",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C161420",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD157362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.