Individual provider Active NPI

Tiffany Lynn Rhein

  • Geriatric Medicine (Family Medicine) Physician
  • Wilsonville, OR
National Provider Identifier
1215792973
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
10031494 Issued in OR
Practice address
25195 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9689
Phone
(971) 236-1199
NPI assigned
Feb 20, 2024
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 10031494 OR Primary

Addresses

Primary practice location

25195 SW Parkway Ave Ste 200
Wilsonville, OR 97070-9689

Mailing address

2432 Academy Rd
Minot, ND 58703-1608
Phone (612) 845-1483

Other practice location 1

2432 Academy Rd
Minot, ND 58703-1608
Phone (612) 845-1483

Other names 1

  • Tiffany Lynn Rhein Professional name

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
I20241226000563 OR Practitioner - Nurse Practitioner 8527409721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloved Medical LLCGroup PAC ID 9436514882, 2 clinicians

Practice addresses (Care Compare)

25195 SW Pkwy Ave
Suite 200
Wilsonville, OR 97070-9689
Phone (971) 710-4511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10031494ORMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Medical, LLC Geriatric Medicine CurrentSince Feb 1, 2025 Accepting new patients
Legacy Primary Care PLLC Past Accepting new patients

Locations

25195 SW Parkway Ave
Ste 200
Wilsonville, OR 97070
Phone (971) 236-1199

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, 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": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1215792973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 ACADEMY RD",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031608",
            "telephone_number": "612-845-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25195 SW PARKWAY AVE STE 200",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709689",
            "telephone_number": "971-236-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2432 Academy Rd",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587031608",
            "country_code": "US",
            "telephone_number": "612-845-1483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEIN",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "10031494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "RHEIN",
            "middle_name": "LYNN",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilsonville, OR

Sources for this page

Verify at the official NPI Registry.