Individual provider Active NPI

Caroline Barker, PA

  • Physician Assistant
  • Tigard, OR
National Provider Identifier
1770178857
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA222276 Issued in OR
Practice address
18081 SW Lower Boones Ferry Rd Ste 2
Tigard, OR 97224-7290
Phone
(503) 673-3893
NPI assigned
Mar 1, 2021
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10506 GA
Physician Assistant 363A00000X PA.61521732 WA
Physician Assistant 363A00000X PA222276 OR Primary

Addresses

Primary practice location

18081 SW Lower Boones Ferry Rd Ste 2
Tigard, OR 97224-7290

Mailing address

18081 SW Lower Boones Ferry Rd Ste 2
Tigard, OR 97224-7290
Phone (503) 673-3893

Other practice location 1

595 W Columbia Way
Vancouver, WA 98660-3607
Phone (360) 690-1123

Other names 1

  • Caroline Harmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10506GAMDPhysician Assistant
PA222276ORMDPhysician Assistant
PA.61521732WAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1770178857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18081 SW LOWER BOONES FERRY RD STE 2",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247290",
            "telephone_number": "503-673-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18081 SW LOWER BOONES FERRY RD STE 2",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247290",
            "telephone_number": "503-673-3893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 W Columbia Way",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986603607",
            "country_code": "US",
            "telephone_number": "360-690-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "CAROLINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.61521732",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA222276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "HARMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.