Active NPI
Lisa Lynn Diepenhorst, MD
- Obstetrics & Gynecology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD26602
- Practice address
- 1130 NW 22ND Ave Ste 520
Portland, OR 97210-2976 - Phone
- (503) 274-4800
- Fax
- (503) 274-4917
- NPI assigned
- May 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD26602 | OR | Primary |
Addresses
Primary practice location
1130 NW 22ND Ave Ste 520
Portland, OR 97210-2976
Mailing address
7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240035 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Human Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 NW 22ND Ave
Suite 520
Portland, OR 97210-2976
Phone (503) 274-4800
1508 Division St
Suite 205
Oregon City, OR 97045-1585
Phone (503) 657-1071
9701 SW Barnes Rd
Portland, OR 97225-6689
Hospital & facility affiliations
- Legacy Good Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26602 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Healthcare Associates, LLC | Specialist | Current | Accepting new patients |
| Northwest Urology, LLC | Specialist | Past | Accepting new patients |
| Women'S Clinic PC | Specialist | Past | Accepting new patients |
Locations
700 NE Multnomah St
Ste 1600
Portland, OR 97232
Phone (503) 249-5454
9701 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 734-3700
1130 NW 22nd Ave
Ste 520
Portland, OR 97210
Phone (503) 274-4800
7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615
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.
-
- Specialist
- Portland, OR
- NPI 1346296142
-
- Specialist
- Portland, OR
- NPI 1629461397
-
- Specialist
- Portland, OR
- NPI 1396754560
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1710924972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7650 SW BEVELAND RD STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972238692",
"telephone_number": "503-601-3615",
"fax_number": "503-646-1683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 NW 22ND AVE STE 520",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972102976",
"telephone_number": "503-274-4800",
"fax_number": "503-274-4917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEPENHORST",
"first_name": "LISA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD26602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240035",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.