Philip Manning Bolton, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD20092 Issued in OR

Practice address

PO Box 19134
Portland, OR 97280-0134

Phone

(503) 245-5142

NPI assigned

Jun 29, 2006

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Albany Medical College of Union University, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Clinical Services PCGroup PAC ID 3274523378, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cornerstone Clinical Services PC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1093892895
  Medicare reassignment Care Compare group NPD
• Cornerstone Clinical Services, Inc

  dba Cornerstone

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1184786238
  NPD
• Coos County Oregon

  • Public Health or Welfare Agency
  • Coos Bay, OR
  • NPI 1063576908
  NPD (past)
• Coos County Oregon

  dba Coos Health & Wellness

  • Clinic/Center
  • Coos Bay, OR
  • NPI 1811981053
  NPD (past)
• New Narrative

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tigard, OR
  • NPI 1265595664
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1588692388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800134",
            "telephone_number": "503-245-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 19134",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972800134",
            "telephone_number": "503-245-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "PHILIP",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-10-15",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD20092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce K. Bolton, MD
• Daniel F Bolton, LPC
• Emily J Bolton, MD
• Faith Helene Bolton, CADCII/PSS/CRM/QMHAR
• Natalie A Bolton, MD
• Rayna Delarose Bolton, LE
• Robert L. Bolton, MD
• Vicki K Bolton, ARNP
• Danielle Boltz, LMT
• Jacqueline Elizabeth Boltz, LCSW

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.

Verify at the official NPI Registry.