Jennifer Erin Bray, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200250088NP-FNP-PP Issued in OR

Practice address

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137

Phone

(503) 447-3285

Fax

(503) 917-4971

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest IV LLCGroup PAC ID 7214277383, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northwest IV, LLC

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1023596541
  Medicare reassignment Care Compare group NPD
• Northwest IV, LLC

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1811600471
  NPD
• Northwest IV, LLC

  • Family Nurse Practitioner
  • Bend, OR
  • NPI 1225619703
  NPD (past)
• Providence Health & Services Oregon

  • Home Infusion Therapy Pharmacy
  • Portland, OR
  • NPI 1427132265
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1407868805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222137",
            "telephone_number": "971-358-9292",
            "fax_number": "503-917-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222137",
            "telephone_number": "503-447-3285",
            "fax_number": "503-917-4971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2255 NW Shevlin Park Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977037134",
            "country_code": "US",
            "telephone_number": "541-728-2525",
            "fax_number": "503-917-4971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16100 NW Cornell Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970068104",
            "country_code": "US",
            "telephone_number": "971-405-5960",
            "fax_number": "971-405-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200250088NP-FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100233",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Michelle Braxton, QMHA
• Alexandra Kate Bray, MD
• Brian D Bray, D.M.D.
• Brianna Helena Bray
• Harry E Bray, MD
• Jeffrey Braytenbah
• Brittany Brazell
• Heather Brazelton
• Rita Merle Braziel, MD
• Patricia Jean Brazil, PH.D.

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.

Verify at the official NPI Registry.