Active NPI
Hiu Tung Yip
- Physician Assistant
- Lake Oswego, OR
National Provider Identifier
1508308214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA225744
- Practice address
- 4103 Mercantile Dr
Lake Oswego, OR 97035-2556 - Phone
- (503) 850-9950
- Fax
- (866) 252-2247
- NPI assigned
- Nov 11, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA225744 | OR | Primary |
Addresses
Primary practice location
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Mailing address
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone (503) 850-9950
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
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone (503) 850-9940
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA225744 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go to Ortho LLC | Physician Assistant | Past | Accepting new patients |
| Amer J Mirza, MD PC | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Lake Oswego, OR
- NPI 1427200021
-
- Orthopaedic Surgery Physician
- Lake Oswego, OR
- NPI 1982033494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1508308214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4103 MERCANTILE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352556",
"telephone_number": "503-850-9950",
"fax_number": "866-252-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4103 MERCANTILE DR",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352556",
"telephone_number": "503-850-9950",
"fax_number": "866-252-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIP",
"first_name": "HIU TUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-11",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA225744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.