Thomas Koehler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA165739 Issued in OR

Practice address

1715 E 12TH St
The Dalles, OR 97058-3136

Phone

(208) 413-8406

NPI assigned

Mar 24, 2014

Last updated

May 12, 2026By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Vascular Specialists LLCGroup PAC ID 0345695185, 2 clinicians

Advanced Vascular Centers Eugene LLCGroup PAC ID 6901298892, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Vascular Centers Eugene LLC

  • Vascular & Interventional Radiology Physician
  • Springfield, OR
  • NPI 1255091955
  Medicare reassignment Care Compare group
• Northwest Vascular Specialists, LLC

  • Vascular Surgery Physician
  • Springfield, OR
  • NPI 1548947211
  Medicare reassignment Care Compare group
• Icco, LLC

  dba BestMed

  • Urgent Care Clinic/Center
  • Eugene, OR
  • NPI 1407004757
  Medicare reassignment
• Oregon Imaging Centers, L.L.C.

  dba Oregon Imaging Center

  • Diagnostic Radiology Physician
  • Eugene, OR
  • NPI 1043241581
  Medicare reassignment
• Peacehealth

  dba Sacred Heart Physicians

  • Hospitalist Physician
  • Springfield, OR
  • NPI 1740223874
  Medicare reassignment
• Peacehealth Medical Group

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1447207287
  Medicare reassignment
• Icco LLC

  dba BestMed

  • Rural Health Clinic/Center
  • Florence, OR
  • NPI 1740896547
  NPD
• Icco, LLC

  dba Musculoskeletal Clinic

  • Sports Medicine (Family Medicine) Physician
  • Eugene, OR
  • NPI 1437660768
  NPD

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

• McKenzie-Willamette Regional Medical Center Associates LLC

  dba McKenzie-Willamette Medical Center

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation
• Peacehealth

  dba Sacred Heart-RiverBend

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1083888515
  Care Compare affiliation
• Peacehealth

  • Psychiatric Hospital Unit
  • Eugene, OR
  • NPI 1568236974
  Care Compare affiliation

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1720405145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91302 N COBURG INDUSTRIAL WAY STE 122",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "974089331",
            "telephone_number": "208-413-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 E 12TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583136",
            "telephone_number": "208-413-8406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Gateway Loop",
            "address_2": "1200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974779747",
            "country_code": "US",
            "telephone_number": "503-683-7730",
            "fax_number": "541-204-1997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3377 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778803",
            "country_code": "US",
            "telephone_number": "541-222-8080",
            "fax_number": "541-222-8398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-521-7427",
            "fax_number": "541-222-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA165739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cainen Knight
• Rachel Knox
• Mary Knutson, R.N.
• Robert Benjamin Koch, D.M.D.
• Rebecca L Kocher
• James E Konopasek, M.S.
• Cynthia Elise Kountz
• Monika Kraft, DDS
• Megan Elise Krueger
• Matthew Labarbera, MD

• Medical Physician Assistant in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.