Individual provider Active NPI

Ashley Holsen, MD

  • Pediatrics Physician
  • Portland, OR
National Provider Identifier
1376833616
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD167159 Issued in OR
Practice address
10000 SE Main St Ste 30
Portland, OR 97216-2461
Phone
(503) 255-3544
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD167159 OR Primary

Addresses

Primary practice location

10000 SE Main St Ste 30
Portland, OR 97216-2461

Mailing address

10000 SE Main St Ste 30
Portland, OR 97216-2461

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
I20140613000648 OR Practitioner - Pediatric Medicine 5698920221 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD167159ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Medical Center CurrentSince Dec 14, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Pediatrics CurrentSince Jun 12, 2014 Accepting new patients
Mid-Columbia Medical Center CurrentSince Dec 14, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 12, 2014 Accepting new patients
East Portland Pediatric Clinic, P.C. Pediatrics Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

551 Lone Pine Blvd
The Dalles, OR 97058
Phone (541) 296-7202

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

Interoperability endpoints

  • Direct secure messaging: aholsen154509@direct.ohsu.edu

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1376833616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 30",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 30",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162461",
            "telephone_number": "503-255-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSEN",
        "first_name": "ASHLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD167159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.