Individual provider Active NPI

David E Strickland, PA-C

  • Medical Physician Assistant
  • Gresham, OR
National Provider Identifier
1265897599
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1691 Issued in NV
Practice address
24900 SE Stark St Ste 109
Gresham, OR 97030-3381
Phone
(503) 674-1950
Fax
(503) 674-1965
NPI assigned
Dec 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1691 NV Primary

Addresses

Primary practice location

24900 SE Stark St Ste 109
Gresham, OR 97030-3381

Mailing address

PO Box 4365
Portland, OR 97208-4365
Phone (503) 413-3900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170310002031 OR Practitioner - Physician Assistant 2163726381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians

Practice addresses (Care Compare)

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150

24988 SE Stark St
Suite 220
Gresham, OR 97030-8324
Phone (503) 674-1580

Hospital & facility affiliations

  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA1691NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Mount Hood Medical Center CurrentSince Mar 27, 2017 Accepting new patients
Legacy Clinics LLC CurrentSince Jan 8, 2018 Accepting new patients
Legacy Salmon Creek Hospital Past Accepting new patients

Locations

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

24988 SE Stark St
Ste 220
Gresham, OR 97030
Phone (503) 674-1580

2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050

22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024

24900 SE Stark St
Ste 109
Gresham, OR 97030
Phone (503) 667-1015

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

9361 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 457-4301

3 Monroe Pkwy
Ste X
Lake Oswego, OR 97035
Phone (503) 679-3748

1900 McLoughlin Blvd
Ste 127
Oregon City, OR 97045
Phone (503) 305-6159

1900 McLoughlin Blvd
Ste 67
Oregon City, OR 97045

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

4800 SW 76th Ave
Portland, OR 97225
Phone (971) 808-0665

21430 SW Langer Farms Pkwy
Ste 158
Sherwood, OR 97140
Phone (971) 808-0655

Interoperability endpoints

  • Direct secure messaging: dstrickland199957@direct.lhs.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1265897599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4365",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084365",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST STE 109",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303381",
            "telephone_number": "503-674-1950",
            "fax_number": "503-674-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

Verify at the official NPI Registry.