Active NPI
Compass Medical Clinic LLC
- Family Medicine Physician
- Dallas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMPASS MEDICAL CLINIC LLC
- Practice address
- 607 SE Jefferson St
Dallas, OR 97338-2025 - Phone
- (503) 623-1200
- Fax
- (503) 623-1414
- NPI assigned
- Aug 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Aaron Evers, FNP
- Title
- Owner
- Phone
- (503) 623-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
607 SE Jefferson St
Dallas, OR 97338-2025
Mailing address
607 SE Jefferson St
Dallas, OR 97338-2025
Phone (503) 623-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D1075230 | Compass Medical Clinic LLC | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
607 SE Jefferson St
Dallas, OR 97338
Phone (503) 399-7520
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Salem, OR
- NPI 1689696510
-
- Family Medicine Physician
- Salem, OR
- NPI 1760450308
-
- Family Medicine Physician
- Dallas, OR
- NPI 1639110166
-
- Internal Medicine Physician
- Corvallis, OR
- NPI 1326086950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1619707056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 SE JEFFERSON ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382025",
"telephone_number": "503-623-1200",
"fax_number": "503-623-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 SE JEFFERSON ST",
"city": "DALLAS",
"state": "OR",
"postal_code": "973382025",
"telephone_number": "503-623-1200",
"fax_number": "503-623-1414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASS MEDICAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "EVERS",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-623-1200",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.