Rachel Marian Effros, MD
Individual provider Active NPI Pediatrics Physician · Portland, OR
NPI 1356436554 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1356436554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- C51656 (CA)
- Practice address
- 500 NE Multnomah St
Ste 100
Portland, OR 97232-2023 - Phone
- (503) 813-2221
- Fax
- (503) 813-3555
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090624000022 | WA | Practitioner - Pediatric Medicine | 7315098845 | Reassigns benefits to 1 organization |
| I20100108000820 | OR | Practitioner - Pediatric Medicine | 7315098845 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51656 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current |
Accepting new patients |
| Kaiser Foundation Hospitals | Past | Accepting new patients | |
| Kaiser Foundation Hospitals | Past | Accepting new patients |
Locations
10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C51656 | CA | Yes |
Addresses
Primary practice location
500 NE Multnomah St
Ste 100
Portland, OR 97232-2023
Mailing address
500 NE Multnomah St
Ste 100
Portland, OR 97232-2023
Phone (503) 813-2221
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Northwest Permanente PC |
Other providers in Portland, OR
- Valerie Edwards
- Victoria Ann Edwards
- Natasha Catherine Edwin
- Katrina Eerkes
- Ell Em Eff
- Eleni Efstathiou
- Debbie Louise Egan
- Kaitlin Marie Egan
- Lisa Anne Egan
- Misty Lee Egan
All providers in Portland, OR · Pediatrics Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.