Individual provider Active NPI

Andrea Harrell Chiavarini, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Portland, OR
National Provider Identifier
1255536405
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
MD27441 Issued in OR
Practice address
1535 N Williams Ave
Portland, OR 97227-1885
Phone
(503) 238-2067
NPI assigned
Jun 18, 2007
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD60170852 WA
Obstetrics & Gynecology Physician 207V00000X MD27441 OR
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD27441 OR Primary

Addresses

Primary practice location

1535 N Williams Ave
Portland, OR 97227-1885

Mailing address

232 NW 6TH Ave
Portland, OR 97209-3609

Other practice location 1

1616 E Burnside St
Portland, OR 97214-1453
Phone (971) 271-6066

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070917000775 OR Practitioner - Obstetrics/Gynecology 2264526540 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD27441ORMDObstetrics & Gynecology Physician
MD60170852WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Works NW LLC CurrentSince Mar 13, 2025 Accepting new patients
Metro Treatment of Oregon LP CurrentSince Mar 23, 2026 Accepting new patients
Recovery Works NW LLC CurrentSince Mar 13, 2025 Accepting new patients
Groundswell Integrative Healthcare Inc. PastSince Feb 1, 2017 Accepting new patients
Central City Concern, Inc. Past Accepting new patients

Locations

12540 SW Main St
Ste 202
Tigard, OR 97223
Phone (503) 906-9995

Organizations & group practices 5

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1255536405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 NW 6TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 N WILLIAMS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271885",
            "telephone_number": "503-238-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 E Burnside St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972141453",
            "country_code": "US",
            "telephone_number": "971-271-6066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIAVARINI",
        "first_name": "ANDREA",
        "middle_name": "HARRELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD60170852",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD27441",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD27441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.