Active NPI
Emily Rose Boen, PA-C
- Medical Physician Assistant
- Hillsboro, OR
National Provider Identifier
1417619545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8813
- Practice address
- 333 SE 7TH Ave Ste 2500
Hillsboro, OR 97123-4157 - Phone
- (503) 844-8280
- Fax
- (503) 346-8449
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 8813 | AZ | Primary |
Addresses
Primary practice location
333 SE 7TH Ave Ste 2500
Hillsboro, OR 97123-4157
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Other practice location 1
13460 N 94th Dr Ste J1
Peoria, AZ 85381-4264
Phone (623) 876-8816
Other names 1
- Emily Rose Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, OR
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 SW 5TH Ave
Suite 500
Portland, OR 97201-5537
333 SE 7TH Ave
Suite 5200
Hillsboro, OR 97123-4182
Phone (503) 681-4310
333 SE 7TH Ave
Suite 5300
Hillsboro, OR 97123-4153
Phone (503) 844-8280
335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8813 | AZ | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuality Medical Group LLC | Current | Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
333 SE 7th Ave
Ste 2500
Hillsboro, OR 97123
Phone (503) 844-8280
1400 SW 5th Ave
Ste 500
Portland, OR 97201
Interoperability endpoints
- eboen179566@direct.ohsu.edu
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.
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1073929782
-
- Cardiovascular Disease Physician
- Peoria, AZ
- NPI 1649389156
-
- Neurology Physician
- Hillsboro, OR
- NPI 1639690704
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital
- Hillsboro, OR
- NPI 1073817714
-
- General Acute Care Hospital
- Hillsboro, OR
- NPI 1275591984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1417619545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537",
"fax_number": "503-346-8021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SE 7TH AVE STE 2500",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971234157",
"telephone_number": "503-844-8280",
"fax_number": "503-346-8449"
}
],
"practiceLocations": [
{
"address_1": "13460 N 94th Dr Ste J1",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814264",
"country_code": "US",
"telephone_number": "623-876-8816",
"fax_number": "623-298-0168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOEN",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-06",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "8813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "DAVIS",
"middle_name": "ROSE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.