Individual provider Active NPI

Alan Perry Hendin, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1437127644
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD17763 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-8562
Fax
(503) 418-5505
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD17763 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8562

Other practice location 1

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Phone (503) 414-5160

Other identifiers 1

IdentifierTypeStateIssuer
044821MedicaidOR

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000876 OR Practitioner - Internal Medicine 4183750995 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians
Silverton HealthGroup PAC ID 8921901877, 147 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1433 SE 1St Ave
Canby, OR 97013-6768
Phone (503) 525-7600

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 413-4330

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150

24988 SE Stark St
Suite 220
Gresham, OR 97030-8324
Phone (503) 674-1580

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8258

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

335 Fairview St
Silverton, OR 97381-1916
Phone (503) 874-5640

347 Fairview St
Silverton, OR 97381-1916
Phone (503) 873-5667

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Phone (503) 414-5160

861 W Main St
Molalla, OR 97038-9352
Phone (503) 874-5670

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD17763ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Mount Hood Medical Center CurrentSince Nov 21, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Silverton Health CurrentSince Nov 21, 2024 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Nov 21, 2024 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 21, 2024 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Feb 17, 2018 Accepting new patients
University Professional Services Current Accepting new patients
University Professional Services CurrentSince Mar 1, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 21, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 21, 2024 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Nov 21, 2024 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jan 9, 2017 Accepting new patients
University Professional Services CurrentSince Mar 1, 2025 Accepting new patients
Legacy Clinics LLC Past Accepting new patients
Legacy Meridian Park Hospital Past Accepting new patients
University Professional Services Past Accepting new patients

Locations

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

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

861 W Main St
Molalla, OR 97038
Phone (503) 829-7344

250 W Marquam St
Mount Angel, OR 97362
Phone (503) 845-2000

2222 NW Lovejoy St
Ste 505
Portland, OR 97210
Phone (503) 226-4091

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

501 N Graham St
Ste 100
Portland, OR 97227
Phone 5032429850209

8329 SW Beaverton Hillsdale Hwy
Portland, OR 97225
Phone (503) 414-5160

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

19250 SW 65th Ave
Ste 110
Tualatin, OR 97062
Phone (503) 692-1205

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1002 N Boones Ferry Rd
Woodburn, OR 97071
Phone (503) 981-9526

1475 Mount Hood Ave
Woodburn, OR 97071
Phone (503) 982-2174

Interoperability endpoints

  • Direct secure messaging: ahendin192353@direct.ohsu.edu

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 8

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1437127644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8562",
            "fax_number": "503-418-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8562",
            "fax_number": "503-418-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8329 SW Beaverton Hillsdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972252215",
            "country_code": "US",
            "telephone_number": "503-414-5160",
            "fax_number": "503-414-5190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDIN",
        "first_name": "ALAN",
        "middle_name": "PERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD17763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044821",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.