Individual provider Active NPI

Anthony Dechristopher, NP-C, RN

  • Family Nurse Practitioner
  • Redmond, OR
National Provider Identifier
1356851067
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201904340NP-PP Issued in OR
Practice address
1555 S Highway 97 # 101
Redmond, OR 97756-9652
Phone
(541) 204-4304
NPI assigned
Oct 8, 2017
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201904340NP-PP OR Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 60767128 WA
Family Medicine Physician 207Q00000X AP60909309 WA

Addresses

Primary practice location

1555 S Highway 97 # 101
Redmond, OR 97756-9652

Mailing address

525 NW 9TH St
Redmond, OR 97756-1612
Phone (541) 504-1809

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
I20191121001228 OR Practitioner - Nurse Practitioner 9830422369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Olsen MD LLCGroup PAC ID 7517354517, 25 clinicians
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074
Phone (971) 300-0654

3818 SW 21St St
Suite 100
Redmond, OR 97756-6802
Phone (541) 548-2899

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60767128WAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC CurrentSince Oct 16, 2023 Accepting new patients
Icco LLC CurrentSince Oct 16, 2023 Accepting new patients
Robert Olsen MD LLC CurrentSince Jan 7, 2026 Accepting new patients
Advanced Pain Solutions of Oregon LLC Family CurrentSince Aug 11, 2022 Accepting new patients

Locations

1925 NE Stucki Ave
Ste 270
Beaverton, OR 97006

250 NW Franklin Ave
Ste 204
Bend, OR 97703

9895 SE Sunnyside Rd
Ste F
Clackamas, OR 97015

1400 Executive Pkwy
Ste 250
Eugene, OR 97401

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018

1547 NE 40th Ave
Ste B
Portland, OR 97232
Phone (855) 397-0197

833 SW 11th Ave
Ste 245
Portland, OR 97205
Phone (503) 442-6105

1020 SW Indian Ave
Ste 100
Redmond, OR 97756
Phone (541) 281-0155

1555 S Highway 97
#101
Redmond, OR 97756
Phone (541) 204-4304

3818 SW 21st St
Ste 100
Redmond, OR 97756
Phone (541) 548-2899

2480 Liberty St NE
Ste 110
Salem, OR 97301
Phone (503) 371-1756

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.

Hospital & facility affiliations 2

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": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1356851067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NW 9TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561612",
            "telephone_number": "541-504-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 S HIGHWAY 97 # 101",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977569652",
            "telephone_number": "541-204-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHRISTOPHER",
        "first_name": "ANTHONY",
        "credential": "NP-C, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-08",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201904340NP-PP",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "60767128",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP60909309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.