Active NPI
Robert Charles Lusk, MD
- Infectious Disease Physician
- Hillsboro, OR
National Provider Identifier
1649276239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD17229
- Practice address
- 10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124 - Phone
- (503) 848-5861
- Fax
- (503) 848-5863
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD17229 | OR | Primary |
Addresses
Primary practice location
10690 NE Cornell Rd Ste 220
Hillsboro, OR 97124
Mailing address
7320 SW Hunziker Rd Ste 300
Portland, OR 97223-2302
Phone (503) 941-3033
Other practice location 1
5050 NE Hoyt St
Ste 540
Portland, OR 97213-2985
Phone (503) 215-6600
Other practice location 2
10330 SE 32nd Ave Ste 325
Milwaukie, OR 97222-6656
Phone (503) 416-1960
Other practice location 3
178 SW 2nd Ave
Canby, OR 97013-4152
Phone (503) 416-4547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054846 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD17229 | OR | MD | Infectious Disease Physician |
| 17229 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Center | Past | Accepting new patients | |
| Neighborhood Health Center | Past | Accepting new patients | |
| Providence Health & Services Oregon | Past | Accepting new patients | |
| WVP Medical Group, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Milwaukie, OR
- NPI 1083984264
-
- Federally Qualified Health Center (FQHC)
- Oregon City, OR
- NPI 1457902561
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Portland, OR
- NPI 1396818993
-
- Community/Behavioral Health Agency
- Salem, OR
- NPI 1922583616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1649276239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 SW HUNZIKER RD STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972232302",
"telephone_number": "503-941-3033",
"fax_number": "503-747-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10690 NE CORNELL RD STE 220",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "97124",
"telephone_number": "503-848-5861",
"fax_number": "503-848-5863"
}
],
"practiceLocations": [
{
"address_1": "5050 NE Hoyt St",
"address_2": "Ste 540",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972132985",
"country_code": "US",
"telephone_number": "503-215-6600",
"fax_number": "503-215-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10330 SE 32nd Ave Ste 325",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972226656",
"country_code": "US",
"telephone_number": "503-416-1960",
"fax_number": "503-416-1959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "178 SW 2nd Ave",
"address_purpose": "LOCATION",
"city": "Canby",
"state": "OR",
"postal_code": "970134152",
"country_code": "US",
"telephone_number": "503-416-4547",
"fax_number": "503-416-4553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUSK",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OR",
"license": "MD17229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "054846",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.