NPIMap

Individual provider Active NPI

Stephen Edward Whorrall, PA-C

  • Physician Assistant
  • Springfield, OR
National Provider Identifier
1265445803
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA209324 Issued in OR
Practice address
2400 Hartman LN
Springfield, OR 97477-1118
Phone
(541) 334-3350
Fax
(541) 746-4569
NPI assigned
Aug 14, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA209324 OR Primary

Addresses

Primary practice location

2400 Hartman LN
Springfield, OR 97477-1118

Mailing address

2400 Hartman LN
Springfield, OR 97477-1118
Phone (541) 334-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090313000520 OR Practitioner - Physician Assistant 1850318320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

1849 NW Kearney St
Suite 201
Portland, OR 97209-1453
Phone (503) 477-5205

2298 NW Kings Blvd
Corvallis, OR 97330-3923
Phone (541) 368-5986

388 State St
Suite 420
Salem, OR 97301-3581
Phone (541) 368-5986

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1668WIMDSpeech-Language Pathologist
PA209324ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance CurrentSince Jul 1, 2025 Accepting new patients
Sound Pain Alliance CurrentSince Jul 1, 2025 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Feb 3, 2025 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Sky Lakes Medical Center Inc Past Accepting new patients

Locations

2358 NW Kings Blvd
Ste 100
Corvallis, OR 97330
Phone (541) 368-5986

2200 Bryant Williams Dr
Ste 1
Klamath Falls, OR 97601
Phone (541) 884-3677

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

1849 NW Kearney St
Ste 201
Portland, OR 97209
Phone (503) 274-0045

388 State St
Ste 420
Salem, OR 97301
Phone (541) 368-5986

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1265445803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARTMAN LN",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771118",
            "telephone_number": "541-334-3350",
            "fax_number": "541-746-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHORRALL",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA209324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

Verify at the official NPI Registry.