Individual provider Active NPI

Christopher John Shirriff, PA-C

  • Physician Assistant
  • Beaverton, OR
National Provider Identifier
1336975028
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA222473 Issued in OR
Practice address
2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435
Phone
(503) 352-6000
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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 PA222473 OR Primary

Addresses

Primary practice location

2725 SW Cedar Hills Blvd Ste 200
Beaverton, OR 97005-1435

Mailing address

9608 Wyoming Ter S
Bloomington, MN 55438-1640
Phone (952) 261-3785

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
I20250326001710 OR Practitioner - Physician Assistant 1557884921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000

National Provider Directory

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

Organizations & group practices 1

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1336975028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9608 WYOMING TER S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381640",
            "telephone_number": "952-261-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 SW CEDAR HILLS BLVD STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051435",
            "telephone_number": "503-352-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRRIFF",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA222473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.