Active NPI
Eowyn A Rieke, M.D.
- Family Medicine Physician
- Portland, OR
National Provider Identifier
1366468639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD153881
- Practice address
- 1312 SW Washington St
Portland, OR 97205-2327 - Phone
- (503) 535-1151
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD153861 | OR | |
| Family Medicine Physician | 207Q00000X | MD153881 | OR | Primary |
Addresses
Primary practice location
1312 SW Washington St
Portland, OR 97205-2327
Mailing address
1312 SW Washington St
Portland, OR 97205-2327
Phone (503) 535-1151
Other practice location 1
1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Phone (503) 740-1971
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215939 | MA | MD | Clinical Social Worker |
| MD153861 | OR | MD | Family Medicine Physician |
| MD153881 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Works NW LLC | Current | Accepting new patients | |
| Recovery Works NW LLC | Current | Accepting new patients | |
| Chaise Group, LLC | Past | Accepting new patients | |
| Lawrence Family Doctors LLC | Family Medicine | Past | Accepting new patients |
Locations
12540 SW Main St
Ste 202
Tigard, OR 97223
Phone (503) 906-9995
Interoperability endpoints
- https://api.platform.athenahealth.com/768/brand/1/csg/1/fhir/r4
- erieke761641@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.
-
- Multi-Specialty Clinic/Center
- Tigard, OR
- NPI 1083010094
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1871264416
-
- Multi-Specialty Clinic/Center
- Clackamas, OR
- NPI 1073720017
-
- Health Maintenance Organization
- Lawrence, MA
- NPI 1295853927
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1366468639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 SW WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052327",
"telephone_number": "503-535-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 SW WASHINGTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052327",
"telephone_number": "503-535-1151"
}
],
"practiceLocations": [
{
"address_1": "1217 NE Burnside Rd Ste 701",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970305770",
"country_code": "US",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEKE",
"first_name": "EOWYN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD153861",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD153881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.