Individual provider Active NPI

Hannah S Dodd, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1295892024
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60968313 Issued in WA
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1674
Phone
(617) 960-7070
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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 60968313 WA Primary

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1674

Mailing address

101 SW Main St Ste 940
Portland, OR 97204-3216
Phone (617) 960-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191030002117 OR Practitioner - Physician Assistant 6709989015 Reassigns benefits to 3 organizations
I20191030002600 WA Practitioner - Physician Assistant 6709989015 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60968313WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 1, 2019 Accepting new patients
Silverton Health CurrentSince Jan 16, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Sep 9, 2025 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Nov 1, 2019 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 1, 2019 Accepting new patients
Silverton Health CurrentSince Jan 16, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Sep 9, 2025 Accepting new patients

Locations

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

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

101 SW Main St
Ste 940
Portland, OR 97204

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1295892024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SW MAIN ST STE 940",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972043216",
            "telephone_number": "617-960-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271674",
            "telephone_number": "617-960-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "HANNAH",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "60968313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.