Daniel A Brown, PA-C
Individual provider Active NPI Physician Assistant · Hermiston, OR
NPI 1699090407 · NPPES record last updated Apr 5, 2010
Key facts
- NPI
- 1699090407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA151128 (OR)
- Practice address
- 236 E Newport Ave
Hermiston, OR 97838-2449 - Phone
- (541) 567-1137
- Fax
- (541) 567-2336
- NPI assigned
- Apr 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Clinics LLC
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988
22262 NE Glisan St
Gresham, OR 97030-8553
Phone (503) 489-2024
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Phone (503) 666-5050
3 Monroe Pkwy
Suite X
Lake Oswego, OR 97035-8875
Phone (503) 679-3748
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160527001911 | OR | Practitioner - Physician Assistant | 7214256676 | Reassigns benefits to 2 organizations |
| I20200615002370 | WA | Practitioner - Physician Assistant | 7214256676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA151128 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current |
Accepting new patients | |
| Silverton Health | Current |
Accepting new patients | |
| Legacy Clinics LLC | Current |
Accepting new patients | |
| Legacy Salmon Creek Hospital | Past | Accepting new patients | |
| Legacy Mount Hood Medical Center | Past | Accepting new patients | |
| Bruce D. Carlson M.D. | Past | Accepting new patients | |
| Bruce D Carlson M.D. | Past | Accepting new patients |
Locations
2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222
2850 SE Powell Valley Rd
Gresham, OR 97080
Phone (503) 666-5050
22262 NE Glisan St
Gresham, OR 97030
Phone (503) 489-2024
9361 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 457-4301
3 Monroe Pkwy
Ste X
Lake Oswego, OR 97035
Phone (503) 679-3748
1900 McLoughlin Blvd
Ste 127
Oregon City, OR 97045
Phone (503) 305-6159
1900 McLoughlin Blvd
Ste 67
Oregon City, OR 97045
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
4800 SW 76th Ave
Portland, OR 97225
Phone (971) 808-0665
21430 SW Langer Farms Pkwy
Ste 158
Sherwood, OR 97140
Phone (971) 808-0655
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
21900 Willamette Dr
Ste 209
West Linn, OR 97068
Phone (971) 274-0038
305 SE Chkalov Dr
Ste 170
Vancouver, WA 98683
Phone (360) 799-3912
200 NE Mother Joseph Pl
Ste 410
Vancouver, WA 98664
Phone (503) 413-3580
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA151128 | OR | Yes |
Addresses
Primary practice location
236 E Newport Ave
Hermiston, OR 97838-2449
Mailing address
236 E Newport Ave
Hermiston, OR 97838-2449
Phone (541) 567-1137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080385000 | Other | OR | BLUE CROSS BLUE SHIELD |
| OR1807 | Other | OR | HEALTH NET |
| 223149 | Medicaid | OR |
Other providers in Hermiston, OR
- Amelia Boyd
- Amber Dawn Brandt
- Jason Arthur Bremner
- Sarah Brock
- Amanda Whitney Brown
- Eric Scott Brown
- Bruce D. Carlson M.D.
- Stacy Brueckner
- Talen Brunson
- Daniel Scott Buck
All providers in Hermiston, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.