NPIMap

Individual provider Active NPI

Anna Christine Mikulic, M.D.

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1346668878
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD192549 Issued in OR
Practice address
10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Phone
(503) 848-5861
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD192549 OR Primary

Addresses

Primary practice location

10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224

Mailing address

7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033

Other identifiers 1

IdentifierTypeStateIssuer
500672939MedicaidOR

Other names 1

  • Anna Christine Olson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618002281 OR Practitioner - Family Practice 9537387725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oregon Health Sciences University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health CenterGroup PAC ID 8426227893, 35 clinicians

Practice addresses (Care Compare)

10690 NE Cornell Rd
Hillsboro, OR 97124-9224
Phone (503) 848-5861

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD192549ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Center Family Medicine CurrentSince May 28, 2019 Accepting new patients
Neighborhood Health Center Family Medicine CurrentSince May 28, 2019 Accepting new patients
Neighborhood Health Center Family Medicine Past Accepting new patients
Neighborhood Health Center Family Medicine Past Accepting new patients

Locations

1841 SW Merlo Dr
Beaverton, OR 97003
Phone (503) 356-3650

227 NW 3rd Ave
Canby, OR 97013
Phone (503) 416-4547

10690 NE Cornell Rd
Ste 220
Hillsboro, OR 97124
Phone (503) 848-5861

6420 S Macadam Ave
Ste 300
Portland, OR 97239
Phone (503) 941-3033

7320 SW Hunziker Rd
Ste 300
Tigard, OR 97223
Phone (503) 941-3033

Interoperability endpoints

  • Direct secure messaging: amikulic278380@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 and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1346668878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033",
            "fax_number": "503-747-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10690 NE CORNELL RD STE 220",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249224",
            "telephone_number": "503-848-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULIC",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD192549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500672939",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "OLSON",
            "middle_name": "CHRISTINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.