Individual provider Active NPI

Deena L Biglen, PAC

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1619993185
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01091 Issued in OR
Practice address
9155 SW Barnes Road, Ste 402
Portland, OR 97225
Phone
(503) 292-7704
Fax
(503) 292-7046
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60693484 WA
Medical Physician Assistant 363AM0700X PA01091 OR Primary

Addresses

Primary practice location

9155 SW Barnes Road, Ste 402
Portland, OR 97225

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

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
I20051207000405 OR Practitioner - Physician Assistant 1254352149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 640
Portland, OR 97210-2993
Phone (503) 229-7976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60693484WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Current Accepting new patients
Northwest Renal Clinic, Inc. CurrentSince Oct 1, 2010 Accepting new patients
Northwest Renal Clinic, Inc. CurrentSince Oct 1, 2010 Accepting new patients

Locations

10201 SE Main St
Ste 27
Portland, OR 97216
Phone (503) 256-0877

9155 SW Barnes Rd
Ste 402
Portland, OR 97225
Phone (503) 292-7704

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

Interoperability endpoints

  • Direct secure messaging: dbiglen37085@direct.acumenmd.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1619993185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES ROAD, STE 402",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97225",
            "telephone_number": "503-292-7704",
            "fax_number": "503-292-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGLEN",
        "first_name": "DEENA",
        "middle_name": "L",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60693484",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.