Active NPI
Chase Pribble, MD
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1376166991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- LP04994
- Practice address
- 1225 NE 2ND Ave
Portland, OR 97232-2003 - Phone
- (503) 944-8000
- Fax
- (503) 944-8011
- NPI assigned
- May 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | LP04994 | RI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | LP04994 | RI | |
| Psychiatry Physician | 2084P0800X | LP04994 | RI | Primary |
Addresses
Primary practice location
1225 NE 2ND Ave
Portland, OR 97232-2003
Mailing address
1225 NE 2ND Ave
Portland, OR 97232-2003
Phone (503) 944-8000
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 |
|---|---|---|---|
| LP04994 | RI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Pediatrics | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients |
Locations
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051
1225 NE 2nd Ave
Ste E145
Portland, OR 97232
Phone (503) 944-7199
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1376166991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 NE 2ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322003",
"telephone_number": "503-944-8000",
"fax_number": "503-944-8011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 NE 2ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322003",
"telephone_number": "503-944-8000",
"fax_number": "503-944-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIBBLE",
"first_name": "CHASE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-19",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "LP04994",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "RI",
"license": "LP04994",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "LP04994",
"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 Jul 15, 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.