Active NPI
Jordan Nadine Denny Aul
- Physician Assistant
- Beaverton, OR
National Provider Identifier
1225538580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA203267
- Practice address
- 6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487 - Phone
- (503) 430-1777
- Fax
- (503) 372-5119
- NPI assigned
- Feb 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA203267 | OR | Primary |
Addresses
Primary practice location
6800 SW 105TH Ave Ste 206
Beaverton, OR 97008-5487
Mailing address
4710 SW 2ND Ave
Portland, OR 97239-2890
Other names 1
- Jordan Nadine Denny
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4550 Carman Dr
Lake Oswego, OR 97035-2520
Phone (503) 675-6055
650 SE Oak St
Hillsboro, OR 97123-4120
Phone (503) 648-8588
6800 SW 105TH Ave
Beaverton, OR 97008-5487
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA203267 | OR | MD | Physician Assistant |
Interoperability endpoints
- jodenny@landmarkhealth-direct.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1225538580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 SW 2ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SW 105TH AVE STE 206",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970085487",
"telephone_number": "503-430-1777",
"fax_number": "503-372-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUL",
"first_name": "JORDAN",
"middle_name": "NADINE DENNY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-13",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA203267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "DENNY",
"middle_name": "NADINE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.