Active NPI
Dena K Drasin, MD
- Child & Adolescent Psychiatry Physician
- Portland, OR
National Provider Identifier
1790851574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OR MD 24055
- Practice address
- 6834 SE 28TH Ave
Portland, OR 97202-8705 - Phone
- (503) 720-1313
- Fax
- (503) 788-9922
- NPI assigned
- Nov 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | OR MD 24055 | OR | Primary |
Addresses
Primary practice location
6834 SE 28TH Ave
Portland, OR 97202-8705
Mailing address
6834 SE 28TH Ave
Portland, OR 97202-8705
Phone (503) 720-1313
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917000508 | OR | Practitioner - Psychiatry | 4587061577 | Practice locations: Portland, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3226 SE Woodward St
Portland, OR 97202-1464
Phone (503) 720-1313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR MD 24055 | OR | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790851574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6834 SE 28TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972028705",
"telephone_number": "503-720-1313",
"fax_number": "503-788-9922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6834 SE 28TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972028705",
"telephone_number": "503-720-1313",
"fax_number": "503-788-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRASIN",
"first_name": "DENA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "OR MD 24055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.