Individual provider Active NPI

Stephanie Lux Silleck, NP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1326692831
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201905671NP-PP Issued in OR
Practice address
18633 SE Stark St Ste 401
Portland, OR 97233-5468
Phone
(503) 489-1760
NPI assigned
Aug 1, 2019
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201905671NP-PP OR Primary

Addresses

Primary practice location

18633 SE Stark St Ste 401
Portland, OR 97233-5468

Mailing address

18633 SE Stark St Ste 400
Portland, OR 97233-5468
Phone (503) 489-1760

Other practice location 1

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005-1342
Phone (503) 300-4111

Other practice location 2

7215 SE Milwaukie Avenue
Portland, OR 97202-6103
Phone (503) 300-4111

Other practice location 3

124 NE 181st Ave Ste 103
Portland, OR 97230
Phone (503) 489-1760

Other practice location 4

6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone (503) 300-4111

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
I20191230001021 OR Practitioner - Nurse Practitioner 5193159119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Wallace Medical ConcernGroup PAC ID 2365680865, shared by 2 NPIs, 10 clinicians

Practice addresses (Care Compare)

18633 SE Stark St
Suite 401
Portland, OR 97233-5468
Phone (503) 489-1760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Crest Childrens Urgent Care LLC CurrentSince Oct 22, 2023 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince May 1, 2025 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince May 1, 2025 Accepting new patients
The Wallace Medical Concern Past Accepting new patients

Locations

2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 300-4111

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

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

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

6924 NE Sandy Blvd
Portland, OR 97213
Phone (503) 300-4111

7215 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 233-5273

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

Interoperability endpoints

  • Direct secure messaging: slux232193@direct.ochin.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1326692831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18633 SE STARK ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335468",
            "telephone_number": "503-489-1760",
            "fax_number": "503-489-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18633 SE STARK ST STE 401",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335468",
            "telephone_number": "503-489-1760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2935 SW Cedar Hills Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970051342",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7215 SE Milwaukie Avenue",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026103",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 NE 181st Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97230",
            "country_code": "US",
            "telephone_number": "503-489-1760",
            "fax_number": "503-489-1763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6924 NE Sandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972135256",
            "country_code": "US",
            "telephone_number": "503-300-4111",
            "fax_number": "503-954-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILLECK",
        "first_name": "STEPHANIE",
        "middle_name": "LUX",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201905671NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.