Active NPI
Dana G Eustis, MD
- Obstetrics & Gynecology Physician
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD199560
- Practice address
- 24800 SE Stark St
Gresham, OR 97030-3378 - Phone
- (503) 491-9444
- NPI assigned
- May 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD199560 | OR | Primary |
Addresses
Primary practice location
24800 SE Stark St
Gresham, OR 97030-3378
Mailing address
7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615
Other practice location 1
19250 SW 65th Ave Ste 300
Tualatin, OR 97062-7707
Phone (503) 692-1242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500782792 | Medicaid | OR |
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: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Rush Medical College of Rush University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 413-8988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD199560 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Obhg Washington, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Legacy Clinics LLC | Family Medicine | Current | Accepting new patients |
| Peacehealth | Family Medicine | Past | Accepting new patients |
| Northwest Urology, LLC | Past | Accepting new patients | |
| Women'S Healthcare Associates, LLC | Past | Accepting new patients |
Locations
24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
19250 SW 65th Ave
Ste 300
Tualatin, OR 97062
Phone (503) 692-1242
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
505 NE 87th Ave
Ste 160
Vancouver, WA 98664
Phone (360) 256-4500
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
1115 SE 164th Ave
Vancouver, WA 98683
Phone (360) 729-1412
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
Interoperability endpoints
- deustis506736@direct.lhs.org
- deustis650333@direct.peacehealth.org
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Silverdale, WA
- NPI 1962729525
-
- Surgery Physician
- Vancouver, WA
- NPI 1609061969
-
- Rural Health Clinic/Center
- Sandy, OR
- NPI 1730472192
-
- Specialist
- Portland, OR
- NPI 1629461397
-
- Rural Health Clinic/Center
- Newberg, OR
- NPI 1922987460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1235517376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-601-3615",
"fax_number": "503-646-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24800 SE STARK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303378",
"telephone_number": "503-491-9444"
}
],
"practiceLocations": [
{
"address_1": "19250 SW 65th Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Tualatin",
"state": "OR",
"postal_code": "970627707",
"country_code": "US",
"telephone_number": "503-692-1242",
"fax_number": "503-691-3615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUSTIS",
"first_name": "DANA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD199560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500782792",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.