Individual provider Active NPI

Eowyn A Rieke, M.D.

  • Family Medicine Physician
  • Portland, OR
National Provider Identifier
1366468639
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD153881 Issued in OR
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

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528001967 OR Practitioner - Family Practice 3375869266 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215939MAMDClinical Social Worker
MD153861ORMDFamily Medicine Physician
MD153881ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Works NW LLC CurrentSince Mar 13, 2025 Accepting new patients
Recovery Works NW LLC CurrentSince Mar 13, 2025 Accepting new patients
Chaise Group, LLC Past Accepting new patients
Lawrence Family Doctors LLC Family Medicine PastSince Aug 23, 1999 Accepting new patients

Locations

12540 SW Main St
Ste 202
Tigard, OR 97223
Phone (503) 906-9995

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/768/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.