Individual provider Active NPI

Erik R Vanderlip, M.D.

  • Psychiatry Physician
  • Lake Oswego, OR
National Provider Identifier
1306044524
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
179396 Issued in OR
Practice address
8 Dover Way
Lake Oswego, OR 97034-7361
Phone
(319) 512-9782
NPI assigned
Jul 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 179396 OR
Psychiatry Physician 2084P0800X 179396 OR Primary

Addresses

Primary practice location

8 Dover Way
Lake Oswego, OR 97034-7361

Mailing address

8 Dover Way Ste 600
Lake Oswego, OR 97034-7361
Phone (319) 512-9782

Other identifiers 3

IdentifierTypeStateIssuer
0294142OtherWAL&I
200538200AMedicaidOK
1306044524MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220321001168 OR Practitioner - Psychiatry 3173719663 Reassigns benefits to 5 organizations
I20250702000954 WA Practitioner - Family Practice 3173719663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

4805 NE Glisan St
Portland, OR 97213-2933

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225-6603

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
179396ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Family Medicine CurrentSince May 1, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince May 1, 2022 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 1, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince May 1, 2022 Accepting new patients
Care Nimble Medical Group Oregon PC Psychiatry Current Accepting new patients
Uptiv Health Mi PC CurrentSince Apr 25, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center Psychiatry CurrentSince Mar 10, 2022 Accepting new patients
Uptiv Health Mi PC Family Medicine CurrentSince Apr 25, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon Psychiatry CurrentSince May 1, 2022 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon CurrentSince May 1, 2022 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Mar 10, 2022 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

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

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

5543 Edmonson Pike
Nashville, TN 37211
Phone (479) 601-7700

1130 140th Ave NE
Ste 300J
Bellevue, WA 98005
Phone (734) 203-0176

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1306044524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DOVER WAY STE 600",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970347361",
            "telephone_number": "319-512-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DOVER WAY",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970347361",
            "telephone_number": "319-512-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERLIP",
        "first_name": "ERIK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "179396",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "179396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0294142",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200538200A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306044524",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.