Active NPI
Lindsey McKinley, DO
- Internal Medicine Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO180969
- Practice address
- 4805 NE Glisan St Ste BG05
Portland, OR 97213 - Phone
- (503) 215-2392
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Internal Medicine, OR
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
Internal Medicine, OR
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
Internal Medicine, OR
-
- General Acute Care Hospital
- Newberg, OR
- NPI 1952482275
Internal Medicine, OR
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
Internal Medicine, OR
-
- Psychiatric Hospital Unit
- Portland, OR
- NPI 1023194271
-
- Rehabilitation Hospital Unit
- Portland, OR
- NPI 1841376092
-
- Clinic/Center
- Portland, OR
- NPI 1003319724
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
Hospital
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health and Services OregonProvidence Health and Services - Oregon
Practice addresses (Care Compare)
10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-3613
4805 NE Glisan St
Portland, OR 97213-2933
Phone (503) 215-1111
Hospital & facility affiliations
- Providence Portland Medical Center
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170502002710 | OR | Practitioner - Internal Medicine | 8022233279 | Reassigns benefits to 9 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO180969 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Vibra Physicians LLC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services - Oregon | Internal Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Internal Medicine | Current | Accepting new patients |
Locations
200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550
9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960
940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538
1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661
1500 Division St
Oregon City, OR 97045
Phone (503) 646-1631
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
10300 NE Hancock St
Portland, OR 97220
Phone (503) 257-5500
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202
4805 NE Glisan St
Ste BG5
Portland, OR 97213
Phone (503) 215-2392
725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000
8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO180969 | OR | Primary |
Addresses
Primary practice location
4805 NE Glisan St Ste BG05
Portland, OR 97213
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500723844 | Medicaid | OR |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lmckinley437797@oc.providencedirect.org | ||
| Direct Messaging Address | lmckinley437797@oc.providencedirect.org | ||
| Direct Messaging Address | lmckinley437797@oc.providencedirect.org | ||
| Direct Messaging Address | lmckinley437797@oc.providencedirect.org | ||
| Direct Messaging Address | lmckinley437797@oc.providencedirect.org |
NPI Registry JSON
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1265845754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 NE GLISAN ST STE BG05",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97213",
"telephone_number": "503-215-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "LINDSEY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "DO180969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500723844",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmckinley437797@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4805 NE Glisan St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132933",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmckinley437797@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1500 Division St",
"city": "Oregon City",
"state": "OR",
"country_code": "US",
"postal_code": "970451527",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmckinley437797@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1111 Crater Lake Ave",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975046241",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmckinley437797@oc.providencedirect.org",
"affiliation": "N",
"address_1": "10150 SE 32nd Ave",
"city": "Milwaukie",
"state": "OR",
"country_code": "US",
"postal_code": "972226516",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lmckinley437797@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9205 SW Barnes Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256603",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 15, 2020; 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.