Individual provider Active NPI

Christine A Carey, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1609394253
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA189209 Issued in OR
Practice address
9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612
Phone
(503) 216-1661
NPI assigned
Sep 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4113-23 WI
Physician Assistant 363A00000X PA189209 OR Primary

Addresses

Primary practice location

9427 SW Barnes Rd Ste 495
Portland, OR 97225-6612

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

5000 W National Ave
Milwaukee, WI 53295
Phone (414) 384-2000

Other practice location 2

2850 SE Powell Valley Rd Ste 100
Gresham, OR 97080
Phone (971) 203-0197

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org
FHIR URL ccarey1185357@oc.providencedirect.org
Direct Messaging Address ccarey1185357@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190218002055 OR Practitioner - Physician Assistant 4981942984 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Providence Health and Services - OregonGroup PAC ID 9335057447, 212 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225-6603

9427 SW Barnes Rd
Portland, OR 97225-6652

9427 SW Barnes Rd
Suite 495
Portland, OR 97225-6612
Phone (503) 297-6234

9427 SW Barnes Rd
Suite 593
Portland, OR 97225-6640
Phone (503) 216-8670

Hospital & facility affiliations

  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA189209ORMDPhysician Assistant
4113-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Mar 14, 2021 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 14, 2021 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 1, 2020 Accepting new patients

Locations

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

Organizations & group practices 7

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 7

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1609394253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD STE 495",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256612",
            "telephone_number": "503-216-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 W National Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53295",
            "country_code": "US",
            "telephone_number": "414-384-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 SE Powell Valley Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "97080",
            "country_code": "US",
            "telephone_number": "971-203-0197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAREY",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4113-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA189209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "9427 SW Barnes Rd Ste 498",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972256652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "315 SE Stonemill Dr Ste 220",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986846987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "10330 SE 32nd Ave Ste 210",
            "city": "Milwaukie",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972226594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1510 Division St Ste 100",
            "city": "Oregon City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970451572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1859 NW Civic Dr",
            "city": "Gresham",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970305566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18040 SW Lower Boones Ferry Rd",
            "city": "Tigard",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972247258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1003 N Providence Dr Ste 325",
            "city": "Newberg",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971327521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2185 NW 2nd St Ste A",
            "city": "McMinnville",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971289134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccarey1185357@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1111 NE 99th Ave Ste 201",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972209442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.