Evergreen Medical Solutions LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EVERGREEN MEDICAL SOLUTIONS LLC

Practice address

2250 NW Flanders St Ste 109
Portland, OR 97210-5409

Phone

(503) 479-7713

Fax

(503) 594-4039

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Andrew Miller, MDNPI 1861421117

Title

Owner

Phone

(503) 479-7713

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew James Miller, MD

  • General Practice Physician
  • Hillsboro, OR
  • NPI 1861421117
  Medicare reassignment NPD Authorized official
• Lindsay C Dye, PA-C

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1740946748

  Single Specialty

  NPD
• Maria Abigail Larios Velasquez, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1437030996
  NPD
• Colleen Scott, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1326809153
  NPD
• Adnan Ahmad, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Portland, OR
  • NPI 1417788183
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1558134338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105409",
            "telephone_number": "503-479-7713",
            "fax_number": "503-594-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NW FLANDERS ST STE 109",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105409",
            "telephone_number": "503-479-7713",
            "fax_number": "503-594-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MEDICAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-479-7713",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Clinical
• Evergreen Counseling LLC
• Evergreen Health LLC
• Evergreen Hospital Dentistry
• Evergreen Integrative Medicine, LLC (NW Functional Thyroid Clinic)
• Evergreen Oregon Healthcare Portland, L.L.C. (Portland Health and Rehabilitation Center)
• Evergreen Pelvic Health and Wellness LLC
• Evergreen Pharmaceutical LLC (Omnicare of Portland #48329)
• Evergreen Prosthetics and Orthotics, LLC
• Evergreen Prosthetics and Orthotics, LLC

• Urgent Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Urgent Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.