Active NPI
Michelle Foss, DPT
- Community Health Worker
- Beaverton, OR
National Provider Identifier
1427500925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 61831
- Practice address
- 16985 NW Cornell Rd Ste 110
Beaverton, OR 97006-5639 - Phone
- (503) 601-9000
- NPI assigned
- Oct 31, 2016
- Last updated
- Nov 4, 2016
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 61831 | OR | Primary |
Addresses
Primary practice location
16985 NW Cornell Rd Ste 110
Beaverton, OR 97006-5639
Mailing address
4112 SE Henderson St
Portland, OR 97202-7815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61831 | Other | OR | PHYSICAL THERAPIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1427500925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 SE HENDERSON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972027815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16985 NW CORNELL RD STE 110",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065639",
"telephone_number": "503-601-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS",
"first_name": "MICHELLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OR",
"license": "61831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "61831",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.