Active NPI
Andrea Harrell Chiavarini, MD
- Addiction Medicine (Preventive Medicine) Physician
- Portland, OR
National Provider Identifier
1255536405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- MD27441
- Practice address
- 1535 N Williams Ave
Portland, OR 97227-1885 - Phone
- (503) 238-2067
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 14, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27441 | OR | MD | Obstetrics & Gynecology Physician |
| MD60170852 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Works NW LLC | Current | Accepting new patients | |
| Metro Treatment of Oregon LP | Current | Accepting new patients | |
| Recovery Works NW LLC | Current | Accepting new patients | |
| Groundswell Integrative Healthcare Inc. | Past | 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.
-
- Multi-Specialty Clinic/Center
- Tigard, OR
- NPI 1083010094
-
dba Portland Metro Treatment Center
- Methadone Clinic
- Portland, OR
- NPI 1508073651
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1871264416
-
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1497044382
-
- Family Medicine Physician
- Salem, OR
- NPI 1457790826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.