Individual provider Active NPI

Anne Gerlicher Harned, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1316597339
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA201457 Issued in OR
Practice address
1130 NW 22ND Ave Ste 110
Portland, OR 97210-2934
Phone
(503) 413-8654
Fax
(503) 413-8655
NPI assigned
Sep 12, 2019
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 PA201457 OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave Ste 110
Portland, OR 97210-2934

Mailing address

PO Box 488
Corvallis, OR 97339-0488
Phone (805) 286-3826

Other practice location 1

660 S Coronado Dr
Sierra Vista, AZ 85635-3386
Phone (520) 459-4900

Other practice location 2

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6380

Other identifiers 1

IdentifierTypeStateIssuer
500791903MedicaidOR

Other names 1

  • Anne Frances Gerlicher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 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
I20210427003111 WA Practitioner - Physician Assistant 7012325244 Reassigns benefits to 1 organization
I20210427003182 OR Practitioner - Physician Assistant 7012325244 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tualatin Imaging PCGroup PAC ID 8123011392, 18 clinicians
Willamette Radiology Billing Services LLCGroup PAC ID 9335681972, 15 clinicians

Practice addresses (Care Compare)

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6322

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA201457ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Clinic, Inc. CurrentSince Jan 25, 2026 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 22, 2021 Accepting new patients
Privia Medical Group Washington, PLLC CurrentSince Jan 25, 2026 Accepting new patients

Locations

1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-6862

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28594/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1316597339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390488",
            "telephone_number": "805-286-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102934",
            "telephone_number": "503-413-8654",
            "fax_number": "503-413-8655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 S Coronado Dr",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856353386",
            "country_code": "US",
            "telephone_number": "520-459-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 SE Stratus Ave",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971286255",
            "country_code": "US",
            "telephone_number": "503-435-6380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARNED",
        "first_name": "ANNE",
        "middle_name": "GERLICHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA201457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500791903",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "GERLICHER",
            "middle_name": "FRANCES",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.