Individual provider Active NPI

Michiko Oishi, PA-C

  • Medical Physician Assistant
  • Beaverton, OR
National Provider Identifier
1568714517
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA165320 Issued in OR
Practice address
2865 SW Cedar Hills Blvd BLDG 14
Beaverton, OR 97005-1343
Phone
(503) 342-2520
Fax
(415) 252-7176
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA165320 OR Primary

Addresses

Primary practice location

2865 SW Cedar Hills Blvd BLDG 14
Beaverton, OR 97005-1343

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124-9224
Phone (503) 848-5861

Other identifiers 1

IdentifierTypeStateIssuer
500676859MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
George Washington University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Embarcadero Ctr
Suite 1900
San Francisco, CA 94111-3723

6420 SW Macadam Ave
Suite 300
Portland, OR 97239-3519

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA165320ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Nov 1, 2024 Accepting new patients
Neighborhood Health Center Past Accepting new patients
Providence Health & Services - Oregon PastSince Jan 1, 2022 Accepting new patients
Neighborhood Health Center Past Accepting new patients
Bestpractices, Inc. Past Accepting new patients
Providence Medical Group, PC PastSince Jan 1, 2022 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

1122 NW Everett St
Portland, OR 97209
Phone (503) 342-2520

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1568714517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 SW CEDAR HILLS BLVD BLDG 14",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051343",
            "telephone_number": "503-342-2520",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10690 NE Cornell Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971249224",
            "country_code": "US",
            "telephone_number": "503-848-5861",
            "fax_number": "503-848-5863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OISHI",
        "first_name": "MICHIKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA165320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500676859",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.