Individual provider Active NPI

Alyssa Vahala Wright, P.A.

  • Physician Assistant
  • Tigard, OR
National Provider Identifier
1407282320
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA202447 Issued in OR
Practice address
8060 SW Pfaffle St Ste 102
Tigard, OR 97223-8489
Phone
(503) 714-8987
Fax
(720) 598-0440
NPI assigned
Sep 24, 2013
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04521 NC
Physician Assistant 363A00000X PA202447 OR Primary

Addresses

Primary practice location

8060 SW Pfaffle St Ste 102
Tigard, OR 97223-8489

Mailing address

3827 N Lafayette St
Denver, CO 80205-3339
Phone (303) 500-1518

Other practice location 1

1028 Lee Ann Dr NE
Suite 200
Concord, NC 28025-2903
Phone (704) 782-1892

Other names 1

  • Alyssa Danielle Vahala Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131127000339 NC Practitioner - Physician Assistant 0749416527
I20201207002959 OR Practitioner - Physician Assistant 0749416527 Reassigns benefits to 3 organizations
I20220311001517 WA Practitioner - Physician Assistant 0749416527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Oregon Health and Science UniversityGroup PAC ID 1759328842, shared by 6 NPIs, 93 clinicians

Practice addresses (Care Compare)

15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone (503) 494-3442

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-8311

3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900

4212 SE Division St
Portland, OR 97206-1681
Phone (503) 418-1500

51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Phone (503) 418-4222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.11 of 100Reported as apm
Quality
84.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-04521NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Professional Services CurrentSince Mar 7, 2024 Accepting new patients
University Professional Services CurrentSince Mar 7, 2024 Accepting new patients
Oregon Health & Science University Current Accepting new patients
Oregon Health & Science University CurrentSince Mar 7, 2024 Accepting new patients
Range Urgent Care, PLLC CurrentSince Feb 14, 2018 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Past Accepting new patients
University Professional Services Past Accepting new patients
Observation Medicine Physicians of Mecklenburg County PLLC Past Accepting new patients

Locations

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900

51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222

Interoperability endpoints

  • Direct secure messaging: alyssa.wright.1@13869.direct.athenahealth.com
  • Direct secure messaging: awright170852@direct.ohsu.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1407282320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053339",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 SW PFAFFLE ST STE 102",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238489",
            "telephone_number": "503-714-8987",
            "fax_number": "720-598-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1028 Lee Ann Dr NE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252903",
            "country_code": "US",
            "telephone_number": "704-782-1892",
            "fax_number": "704-786-1890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "ALYSSA",
        "middle_name": "VAHALA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04521",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA202447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "VAHALA",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.