Individual provider Active NPI

Denise Palke

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1326367020
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD160620 Issued in OR
Practice address
10201 SE Main St Ste 10a
Portland, OR 97216-2968
Phone
(503) 255-2186
Fax
(503) 255-2194
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD160620 OR Primary

Addresses

Primary practice location

10201 SE Main St Ste 10a
Portland, OR 97216-2968

Mailing address

10201 SE Main St Ste 10a
Portland, OR 97216-2968
Phone (503) 255-2186

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dpalke4892@yvfwc.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, 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
I20231122003169 HI Practitioner - Family Practice 7012161672 Reassigns benefits to 1 organization
I20260116002048 WA Practitioner - Family Practice 7012161672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siloam PSGroup PAC ID 5597030734, 2 clinicians

Practice addresses (Care Compare)

4118 NW Olive St
Vancouver, WA 98660-1439
Phone (360) 433-9580

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD160620ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center Family Medicine CurrentSince Jan 29, 2023 Accepting new patients
Siloam PS CurrentSince Jan 6, 2026 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Oct 23, 2023 Accepting new patients

Locations

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

55 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 243-6000

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

10201 SE Main St
Ste 10A
Portland, OR 97216
Phone (503) 255-2186

Interoperability endpoints

  • Direct secure messaging: dpalke4892@yvfwc.direct-ci.com
  • Direct secure messaging: dpalke179090@direct.ohsu.edu

Organizations & group practices 3

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 4

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1326367020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 10A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162968",
            "telephone_number": "503-255-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 SE MAIN ST STE 10A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162968",
            "telephone_number": "503-255-2186",
            "fax_number": "503-255-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKE",
        "first_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD160620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dpalke4892@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8935 SE Powell Blvd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972661938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.