NPIMap

Individual provider Active NPI

Julie Elizabeth Yeggy, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1770550626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19121 Issued in OR
Practice address
2800 N Vancouver Ave Ste 230
Portland, OR 97227-1668
Phone
(503) 413-4340
Fax
(503) 413-4898
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD19121 OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave Ste 230
Portland, OR 97227-1668

Mailing address

2800 N Vancouver Ave Ste 230
Portland, OR 97227-1668
Phone (503) 413-4340

Other identifiers 1

IdentifierTypeStateIssuer
065466MedicaidOR

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
I20060602000069 OR Practitioner - Internal Medicine 7012928203 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2800 N Vancouver Ave
Suite 230
Portland, OR 97227-1668
Phone (503) 413-4340

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2042

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9804ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 14, 1994 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince May 16, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 1, 2006 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince May 16, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 1, 2011 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 14, 1994 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Apr 1, 2006 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Apr 1, 2011 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

2800 N Vancouver Ave
Ste 230
Portland, OR 97227
Phone (503) 413-2901

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2800 N Vancouver Ave
Ste 201
Portland, OR 97227
Phone (503) 276-9000

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

15 N Morris St
Ste 580
Portland, OR 97227
Phone (503) 528-0704

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

500 N Columbia River Hwy
Ste 6
Saint Helens, OR 97051
Phone (503) 366-5101

Interoperability endpoints

  • Direct secure messaging: jyeggy2885@direct.lhs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 10

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770550626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271668",
            "telephone_number": "503-413-4340",
            "fax_number": "503-413-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 230",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271668",
            "telephone_number": "503-413-4340",
            "fax_number": "503-413-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGGY",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD19121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065466",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.