Gabriel K Andeen, MD
Individual provider Active NPI Family Medicine Physician · Scappoose, OR
NPI 1720343296 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1720343296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD60555323 (WA)
- Practice address
- 51377 SW Old Portland Rd Ste C
Scappoose, OR 97056-4023 - Phone
- (503) 418-4222
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Professional Services
Oregon Health and Science University
Practice addresses (Care Compare)
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
3930 SE Division St
Portland, OR 97202-1643
Phone (503) 418-3900
51377 SW Old Portland Rd
Scappoose, OR 97056-4023
Phone (503) 418-4222
Hospital & facility affiliations
- Ohsu Hospital and Clinics
- Hillsboro Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.11 of 100
- Quality
- 84.29
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170809004330 | OR | Practitioner - Family Practice | 1850526161 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD187010 | OR | MD | Family Medicine Physician |
| MD60555323 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Professional Services | Current | Accepting new patients | |
| Tuality Healthcare | Family Medicine | Current | Accepting new patients |
| Tuality Medical Group LLC | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| University Professional Services | Current |
Accepting new patients | |
| Oregon Health & Science University | Current | Accepting new patients | |
| Tuality Healthcare | Current |
Accepting new patients | |
| Oregon Health & Science University | Current |
Accepting new patients | |
| Oregon Health & Science University | Current |
Accepting new patients | |
| Tuality Medical Group LLC | Current |
Accepting new patients |
Locations
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
3930 SE Division St
Portland, OR 97202
Phone (503) 418-3900
51377 SW Old Portland Rd
Ste C
Scappoose, OR 97056
Phone (503) 418-4222
51377 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 418-4222
Interoperability endpoints
- gandeenmd3523@direct.ohsu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD187010 | OR | |
| Family Medicine Physician | 207Q00000X | MD60555323 | WA | Yes |
Addresses
Primary practice location
51377 SW Old Portland Rd Ste C
Scappoose, OR 97056-4023
Mailing address
720 8TH Ave S.
Seattle, WA 98104-3033
Phone (206) 788-3617
Other providers in Scappoose, OR
- Ackerman Psychological Services LLC
- Chloe Leanora Ackerman
- Andrew James Adam
- Advanced Alternative Healthcare Clinic, Inc.
- Nicole Ann Andreotti
- Robert Emilio Andreotti
- Arrow Dental LLC
- Avalon Care Center - Scappoose, L.L.C.
- Tanya Rochelle Bachman
All providers in Scappoose, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.