NPIMap

Individual provider Active NPI

Hataya Kristy Poonyagariyagorn, M.D.

  • Pulmonary Disease Physician
  • Beaverton, OR
National Provider Identifier
1720264476
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD161977 Issued in OR
Practice address
11000 SW Stratus St Ste 310
Beaverton, OR 97008-7144
Phone
(503) 297-3778
Fax
(503) 297-7853
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD161977 OR
Pulmonary Disease Physician 207RP1001X MD161977 OR Primary

Addresses

Primary practice location

11000 SW Stratus St Ste 310
Beaverton, OR 97008-7144

Mailing address

541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801

Other practice location 1

879 Providence Dr
Newberg, OR 97132-7563
Phone (503) 297-3778

Other identifiers 2

IdentifierTypeStateIssuer
2029616MedicaidWA
500657789MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cc_otoc_pulmonology_west_front_desk12223305@oc.providencedirect.org The Oregon Clinic PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000953 OR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5294800686 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Albert Einstein College of Medicine of Yeshiva University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Oregon Clinic, PCGroup PAC ID 2860390408, 353 clinicians

Practice addresses (Care Compare)

11000 SW Stratus St
Suite 310
Beaverton, OR 97008-7144
Phone (503) 297-3778

500N Columbia River Hwy
Saint Helens, OR 97051-1299
Phone (503) 274-4999

5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.44 of 100Reported as group
Quality
87
Promoting interoperability
100
Improvement activities
40
Cost
73.18

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jan 7, 2015 Accepting new patients
The Oregon Clinic PC Critical Care Medicine CurrentSince Apr 1, 2016 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2013 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2013 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 7, 2015 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
The Oregon Clinic, PC CurrentSince Apr 1, 2016 Accepting new patients
Providence Health & Services Oregon CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 S Hazel Dell Way
Ste 210
Canby, OR 97013
Phone (503) 263-9550

200 S Hazel Dell Way
Ste 200
Canby, OR 97013
Phone (503) 263-9500

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

879 N Providence Dr
Newberg, OR 97132
Phone (503) 297-3778

9427 SW Barnes Rd
Ste 296
Portland, OR 97225
Phone (503) 297-3778

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

9205 SW Barnes Rd
Ste 20
Portland, OR 97225
Phone (503) 216-2229

541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

847 NE 19th Ave
Ste 300
Portland, OR 97232

500 N Highway
Saint Helens, OR 97051
Phone (503) 229-7554

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

19250 SW 65th Ave
Ste 135
Tualatin, OR 97062
Phone (503) 692-0978

Interoperability endpoints

  • Direct secure messaging: hpoonyagariyagorn309625@oc.providencedirect.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1720264476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322895",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 SW STRATUS ST STE 310",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087144",
            "telephone_number": "503-297-3778",
            "fax_number": "503-297-7853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "879 Providence Dr",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971327563",
            "country_code": "US",
            "telephone_number": "503-297-3778",
            "fax_number": "503-297-7853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POONYAGARIYAGORN",
        "first_name": "HATAYA",
        "middle_name": "KRISTY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OR",
            "license": "MD161977",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD161977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029616",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500657789",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cc_otoc_pulmonology_west_front_desk12223305@oc.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "11000 SW Stratus St Ste 310",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970087144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.