Individual provider Active NPI

Richelle Mary Neal, M.D.

  • Pediatrics Physician
  • Lake Oswego, OR
National Provider Identifier
1558771873
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD181501 Issued in OR
Practice address
16463 Boones Ferry Rd Ste 400
Lake Oswego, OR 97035-4377
Phone
(503) 635-3743
Fax
(503) 635-1508
NPI assigned
May 8, 2014
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X MD181501 OR Primary

Addresses

Primary practice location

16463 Boones Ferry Rd Ste 400
Lake Oswego, OR 97035-4377

Mailing address

16463 Boones Ferry Rd Ste 400
Lake Oswego, OR 97035-4377
Phone (503) 635-3743

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD181501ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of the Northwest, PC Pediatrics PastSince Dec 21, 2025 Accepting new patients
Pediatric Associates of the Northwest, PC Pediatrics Past Accepting new patients
Olson Pediatric Clinic, LLC PastSince Feb 6, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rneal214689@direct.lhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1558771873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD STE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354377",
            "telephone_number": "503-635-3743",
            "fax_number": "503-635-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 BOONES FERRY RD STE 400",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354377",
            "telephone_number": "503-635-3743",
            "fax_number": "503-635-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "RICHELLE",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD181501",
            "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 Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.