Individual provider Active NPI

Janelle Marie Rohrback, MD

  • Dermatology Physician
  • Beaverton, OR
National Provider Identifier
1699868489
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD25741 Issued in OR
Practice address
15950 SW Millikan Way
Beaverton, OR 97006
Phone
(503) 646-0161
Fax
(503) 643-7459
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD25741 OR Primary

Addresses

Primary practice location

15950 SW Millikan Way
Beaverton, OR 97006

Mailing address

800 SW 13TH Ave
Portland, OR 97205-1902
Phone (503) 221-0161

Other identifiers 1

IdentifierTypeStateIssuer
270044MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrohrback1762@direct.theportlandclinic.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929000282 OR Practitioner - Dermatology 8729013628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland ClinicGroup PAC ID 8224942867, 93 clinicians

Practice addresses (Care Compare)

15950 SW Millikan Way
Beaverton, OR 97003-5170
Phone (503) 646-0161

800 SW 13TH Ave
Portland, OR 97205-1902
Phone 50322101612110

9250 SW Hall Blvd
Tigard, OR 97223-6721
Phone (503) 293-0161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions333
Skin biopsy76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Clinic CurrentSince Sep 26, 2005 Accepting new patients
Portland Clinic Dermatology CurrentSince Sep 26, 2005 Accepting new patients
The Portland Clinic Laboratory Current Accepting new patients

Locations

15950 SW Millikan Way
Beaverton, OR 97003
Phone (503) 646-0161

800 SW 13th Ave
Portland, OR 97205
Phone (503) 221-0161

9250 SW Hall Blvd
Tigard, OR 97223
Phone (503) 221-0161

Interoperability endpoints

  • Direct secure messaging: jrohrback1762@direct.theportlandclinic.net
  • Direct secure messaging: jrohrback31886@theportlandclinic.gardenplot.direct-ci.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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1699868489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SW 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051902",
            "telephone_number": "503-221-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15950 SW MILLIKAN WAY",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-646-0161",
            "fax_number": "503-643-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHRBACK",
        "first_name": "JANELLE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD25741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270044",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrohrback1762@direct.theportlandclinic.net",
            "affiliation": "N",
            "address_1": "15950 SW Millikan Way",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.