Active NPI
Arthur Travis Haffey, R-PAC
- Physician Assistant
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA210603
- Practice address
- 1040 NW 22ND Ave Ste 420
Portland, OR 97210-3062 - Phone
- (503) 413-6166
- NPI assigned
- May 28, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 012362-1 | NY | |
| Physician Assistant | 363A00000X | PA210603 | OR | Primary |
Addresses
Primary practice location
1040 NW 22ND Ave Ste 420
Portland, OR 97210-3062
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other practice location 1
201 E 65th St
New York, NY 10065-6701
Phone (212) 879-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1040 NW 22ND Ave
Portland, OR 97210-3062
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
2121 NE 139TH St
Vancouver, WA 98686-2316
2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487
Hospital & facility affiliations
- Legacy Salmon Creek Medical Center
- Legacy Meridian Park Medical Center
- Legacy Emanuel Medical Center
- Legacy Good Samaritan Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 96.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012362-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients |
Locations
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1040 NW 22nd Ave
Ste 420
Portland, OR 97210
Phone (503) 229-7566
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
2121 NE 139th St
Ste 205
Vancouver, WA 98686
Phone (360) 487-4707
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003367491
-
- Clinical Medical Laboratory
- Portland, OR
- NPI 1295756898
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1407014335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3777",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083777",
"telephone_number": "503-413-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 NW 22ND AVE STE 420",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103062",
"telephone_number": "503-413-6166"
}
],
"practiceLocations": [
{
"address_1": "201 E 65th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100656701",
"country_code": "US",
"telephone_number": "212-879-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAFFEY",
"first_name": "ARTHUR",
"middle_name": "TRAVIS",
"name_prefix": "Mr.",
"credential": "R-PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-28",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "012362-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA210603",
"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 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.