Individual provider Active NPI

Joseph Harmon Miller, PA-C

  • Surgical Physician Assistant
  • Portland, OR
National Provider Identifier
1750964250
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA203438 Issued in OR
Practice address
1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539
Phone
(503) 224-8399
NPI assigned
May 3, 2021
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA203438 OR Primary

Addresses

Primary practice location

1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539

Mailing address

1330 NE 136TH Ave Apt 42
Vancouver, WA 98684-5916
Phone (651) 324-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210520002775 WA Practitioner - Physician Assistant 2163821323 Reassigns benefits to 1 organization
I20220902002672 OR Practitioner - Physician Assistant 2163821323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Rehabilitation Physicians LLCGroup PAC ID 7214334614, 44 clinicians

Practice addresses (Care Compare)

75 Shore Dr
Saint Helens, OR 97051-1125
Phone (801) 215-9309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center of Oregon LLC CurrentSince May 25, 2022 Accepting new patients

Locations

17355 Boones Ferry Rd
Ste 100A
Lake Oswego, OR 97035
Phone (503) 256-5866

1515 NW 18th Ave
Ste 300
Portland, OR 97209
Phone 5032248399122

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1750964250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 NE 136TH AVE APT 42",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845916",
            "telephone_number": "651-324-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 18TH AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092539",
            "telephone_number": "503-224-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "HARMON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA203438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.