Individual provider Active NPI

Dana Alexis Dauer, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1376002436
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA222857 Issued in OR
Practice address
9135 SW Barnes Rd Ste 663
Portland, OR 97225-6683
Phone
(503) 297-1078
Fax
(503) 292-2176
NPI assigned
Mar 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007288 VA
Medical Physician Assistant 363AM0700X 001008738 NC
Physician Assistant 363A00000X PA222857 OR Primary

Addresses

Primary practice location

9135 SW Barnes Rd Ste 663
Portland, OR 97225-6683

Mailing address

9135 SW Barnes Rd Ste 663
Portland, OR 97225-6683
Phone (503) 297-1078

Other practice location 1

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100

Other practice location 2

225 Clearfield Ave
Virginia Beach, VA 23462-1815
Phone (757) 457-5100 ext. 3782

Other identifiers 3

IdentifierTypeStateIssuer
1159255OtherNCCPA
PA222857OtherOROREGON MEDICAL BOARD
001008738OtherNCNORTH CAROLINA MEDICAL BOARD

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
I20250502002060 OR Practitioner - Physician Assistant 5294078432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Urology LLCGroup PAC ID 2668783770, 14 clinicians

Practice addresses (Care Compare)

9135 SW Barnes Rd
Suite 663
Portland, OR 97225-6683
Phone (503) 297-1078

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001008738NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urological Clinic PC Current Accepting new patients
Urology of Virginia, PLLC CurrentSince Nov 16, 2020 Accepting new patients
Urologic Consultants PC Current Accepting new patients
Urology of Virginia, PLLC CurrentSince Nov 16, 2020 Accepting new patients

Locations

2230 NW Pettygrove St
Ste 210
Portland, OR 97210

9135 SW Barnes Rd
Ste 663
Portland, OR 97225
Phone (503) 297-1078

225 Clearfield Ave
Virginia Beach, VA 23462
Phone (757) 452-3459

Interoperability endpoints

  • Direct secure messaging: dana.dauer.1@11085.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1376002436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 663",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256683",
            "telephone_number": "503-297-1078",
            "fax_number": "503-292-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 663",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256683",
            "telephone_number": "503-297-1078",
            "fax_number": "503-292-2176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Clearfield Ave",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234621815",
            "country_code": "US",
            "telephone_number": "757-457-5100 x3782",
            "fax_number": "757-961-3696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUER",
        "first_name": "DANA",
        "middle_name": "ALEXIS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007288",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001008738",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA222857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1159255",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "PA222857",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "001008738",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.