Douglas Raymond Lyon, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD18316 Issued in OR

Practice address

24461 E Welches Rd
Welches, OR 97067-7067

Phone

(971) 333-0494

NPI assigned

Aug 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Rochester School of Medicine and Dentistry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Orchid Oakridge Clinic PCGroup PAC ID 3476786609, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15142/brand/1/csg/1/fhir/r4

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.

• Orchid Oakridge Clinic, P.C.

  dba Orchid Health - Oakridge Clinic

  • Rural Health Clinic/Center
  • Oakridge, OR
  • NPI 1588088983
  Medicare reassignment Care Compare group NPD
• Multnomah County

  dba Multnomah County Health Dept, North Portland

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1609914787
  Medicare reassignment NPD
• Virginia Garcia Memorial Health Center

  • Federally Qualified Health Center (FQHC)
  • Cornelius, OR
  • NPI 1679528012
  Medicare reassignment
• Multnomah County

  dba Communicable Disease

  • Community Health Clinic/Center
  • Portland, OR
  • NPI 1639534969
  NPD
• Multnomah County

  • Federally Qualified Health Center (FQHC)
  • Gresham, OR
  • NPI 1912322074
  NPD
• Orchid Oakridge Clinic, PC

  dba Orchid Health - Fern Ridge Clinic

  • Primary Care Clinic/Center
  • Elmira, OR
  • NPI 1881274348
  NPD
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Milwaukie, OR
  • NPI 1083984264

  Family Medicine

  NPD (past)
• Neighborhood Health Center

  dba NHC Oregon City Medical

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1457902561

  Family Medicine

  NPD (past)
• Orchid Oakridge Clinic, PC

  dba Orchid Health Hoodland Clinic

  • Family Medicine Physician
  • Sandy, OR
  • NPI 1417098773
  NPD (past)

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

• Legacy Mount Hood Medical Center

  • General Acute Care Hospital
  • Gresham, OR
  • NPI 1255354700
  Care Compare affiliation

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1700033925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "970670729",
            "telephone_number": "971-333-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24461 E WELCHES RD",
            "city": "WELCHES",
            "state": "OR",
            "postal_code": "970677067",
            "telephone_number": "971-333-0494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Molalla Ave",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970452799",
            "country_code": "US",
            "telephone_number": "503-656-9030",
            "fax_number": "503-656-9026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "DOUGLAS",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "364110-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD18316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150879",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Fritsch, LMT
• Robert H Kelly, DMD
• Hilari Diana Kolstad
• Ericka Elise Lafever, LMT
• Julie Lazar, CHW
• Brad Alexander McKenzie
• Mountain Life Clinic LLC (Mountain Life Clinic)
• Northwest Medical Foundation of Tillamook (Adventist Health Tillamook Medical Group Hoodland)
• Robert H Kelly, DMD PC (McKenzie Dental)
• Ian Z Schroeder, LPC, CADC III

• Family Medicine Physician in Welches, OR
• Providers in Welches, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.