Active NPI
Courtney Margaret Craigan, RN
- Family Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201906638NP-PP
- Practice address
- 3303 SW Bond Ave Ste 9
Portland, OR 97239-4501 - Phone
- (503) 494-7400
- Fax
- (503) 494-4749
- NPI assigned
- Jan 10, 2019
- Last updated
- Nov 13, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201906638NP-PP | OR | Primary |
Addresses
Primary practice location
3303 SW Bond Ave Ste 9
Portland, OR 97239-4501
Mailing address
3303 SW Bond Ave Ste 9
Portland, OR 97239-4501
Phone (503) 494-7400
Other practice location 1
Kaiser Salmon Creek Medical Office
14406 NE 20th Ave
vancouver, WA 98686
Phone (503) 216-2000
Other practice location 2
Knight Cardiovscular Institute OHSU
3181 SW Sam Jackson Park Rd
Portland, OR 97008
Phone (503) 418-0274
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 296-2201
1825 E 19TH St
The Dalles, OR 97058-3365
Phone (541) 296-7811
551 Lone Pine Blvd
The Dalles, OR 97058-9404
PO Box
The Dalles, OR 97058
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201906638NP-PP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Healthcare for the Mid-Columbia Region | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Family | Past | Accepting new patients |
Locations
1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251
1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201
Interoperability endpoints
- ccraigan135267@direct.ohsu.edu
Organizations & group practices 4
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.
-
dba Adventist Health Columbia Gorge
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Emergency Medicine Physician
- The Dalles, OR
- NPI 1497797856
-
dba Adventist Health Columbia Gorge
- Multi-Specialty Clinic/Center
- The Dalles, OR
- NPI 1992094817
-
dba Adventist Health Columbia Gorge
- Rural Health Clinic/Center
- The Dalles, OR
- NPI 1154351336
Family
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health Columbia Gorge
- Home Health Agency
- The Dalles, OR
- NPI 1205804101
-
dba Adventist Health Columbia Gorge
- Critical Access Hospital Clinic/Center
- The Dalles, OR
- NPI 1306842752
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
dba Adventist Health Portland
- General Acute Care Hospital
- Portland, OR
- NPI 1801887658
-
dba Providence Hood River Memorial Hospital
- Critical Access Hospital
- Hood River, OR
- NPI 1255429338
-
dba Providence Home Health
- Home Health Agency
- Portland, OR
- NPI 1790873461
-
dba Klickitat Valley Health
- Critical Access Hospital
- Goldendale, WA
- NPI 1386689487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573603200000",
"number": "1487127676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 SW BOND AVE STE 9",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-7400",
"fax_number": "503-494-4749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 SW BOND AVE STE 9",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394501",
"telephone_number": "503-494-7400",
"fax_number": "503-494-4749"
}
],
"practiceLocations": [
{
"address_1": "Kaiser Salmon Creek Medical Office",
"address_2": "14406 NE 20th Ave",
"address_purpose": "LOCATION",
"city": "vancouver",
"state": "WA",
"postal_code": "98686",
"country_code": "US",
"telephone_number": "503-216-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Knight Cardiovscular Institute OHSU",
"address_2": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97008",
"country_code": "US",
"telephone_number": "503-418-0274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIGAN",
"first_name": "COURTNEY",
"middle_name": "MARGARET",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-10",
"last_updated": "2019-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201906638NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.