NPIMap

Individual provider Active NPI

Scott David Werden, D.O.

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1659554624
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO213390 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-1775
Fax
(503) 494-4749
NPI assigned
Dec 12, 2007
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO213390 OR
Cardiovascular Disease Physician 207RC0000X 043552 CT
Cardiovascular Disease Physician 207RC0000X OP60070565 WA
Nuclear Cardiology Physician 207UN0901X DO213390 OR
Cardiovascular Disease Physician 207RC0000X DO213390 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-1775

Other practice location 1

500 Lilly Rd NE
Memorial Medical Plaza
Olympia, WA 98506-5195
Phone (360) 413-8525

Other identifiers 1

IdentifierTypeStateIssuer
OP60070565OtherWASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swerden260530@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090615000362 WA Practitioner - Cardiovascular Disease (Cardiology) 0143255562 Reassigns benefits to 2 organizations
I20221220000916 OR Practitioner - Cardiovascular Disease (Cardiology) 0143255562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tuality Medical Group LLCGroup PAC ID 7416173414, 289 clinicians
University Professional ServicesGroup PAC ID 4880760107, 1,683 clinicians

Practice addresses (Care Compare)

1400 SW 5TH Ave
Suite 500
Portland, OR 97201-5537

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311

333 SE 7TH Ave
Suite 5200
Hillsboro, OR 97123-4182
Phone (503) 681-4310

333 SE 7TH Ave
Suite 5300
Hillsboro, OR 97123-4153
Phone (503) 844-8280

335 SE 8TH Ave
Hillsboro, OR 97123-4246
Phone (503) 681-1111

7529 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8252
Phone (503) 681-4240

7545 SE Tualatin Valley Hwy
Hillsboro, OR 97123-8252
Phone (503) 681-1350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO213390ORMDInternal Medicine Physician
043552CTMDCardiovascular Disease Physician
OP60070565WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Feb 28, 2013 Accepting new patients
University Professional Services CurrentSince Jan 1, 2023 Accepting new patients
Tuality Medical Group LLC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Tuality Healthcare Current Accepting new patients
Providence Health & Services Washington CurrentSince Feb 28, 2013 Accepting new patients
University Professional Services Current Accepting new patients
Providence Health & Services Washington CurrentSince Feb 28, 2013 Accepting new patients
Providence Health & Services Washington Internal Medicine Current Accepting new patients
Tuality Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 28, 2013 Accepting new patients
University Professional Services CurrentSince Jan 1, 2023 Accepting new patients
Cardiac Health Specialists PS Past Accepting new patients

Locations

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

333 SE 7th Ave
Hillsboro, OR 97123
Phone (503) 597-4500

333 SE 7th Ave
Ste 2500
Hillsboro, OR 97123
Phone (503) 844-8280

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

410 Providence Ln NE
Bldg 2
Olympia, WA 98506
Phone (360) 493-4500

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

500 Lilly Rd NE
Ste 100
Olympia, WA 98506
Phone (360) 413-8525

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • Direct secure messaging: swerden153589@direct.ohsu.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1659554624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-1775",
            "fax_number": "503-494-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-1775",
            "fax_number": "503-494-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lilly Rd NE",
            "address_2": "Memorial Medical Plaza",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065195",
            "country_code": "US",
            "telephone_number": "360-413-8525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WERDEN",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "DO213390",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "043552",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "OP60070565",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "OR",
            "license": "DO213390",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "DO213390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OP60070565",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swerden260530@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "500 Lilly Rd NE Ste 100",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.