Active NPI
Elizabeth M Upton, PA-C
- Physician Assistant
- Beaverton, OR
National Provider Identifier
1235234881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00963
- Practice address
- 11200 SW Murray Scholls PL
Beaverton, OR 97007-9702 - Phone
- (503) 813-2000
- NPI assigned
- Sep 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10004638 | WA | |
| Physician Assistant | 363A00000X | PA00963 | OR | Primary |
Addresses
Primary practice location
11200 SW Murray Scholls PL
Beaverton, OR 97007-9702
Mailing address
11200 SW Murray Scholls PL
Beaverton, OR 97007-9702
Phone (503) 813-2000
Other names 1
- Elizabeth M Atkisson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1235234881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 SW MURRAY SCHOLLS PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079702",
"telephone_number": "503-813-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 SW MURRAY SCHOLLS PL",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079702",
"telephone_number": "503-813-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPTON",
"first_name": "ELIZABETH",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10004638",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA00963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ATKISSON",
"middle_name": "M",
"credential": "PA-C",
"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 Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.