NPIMap

Organization Active NPI

Northwest IV, LLC

Doing business as Evolve Health

  • Family Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1811600471
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NORTHWEST IV, LLC
Doing business as
Evolve Health
Practice address
16100 NW Cornell Rd Ste 190
Beaverton, OR 97006-8104
Phone
(714) 055-9609
Fax
(971) 405-5961
NPI assigned
Dec 28, 2022
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
John Perry
Title
Managing Director
Phone
(503) 447-3285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

16100 NW Cornell Rd Ste 190
Beaverton, OR 97006-8104

Mailing address

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137
Phone (971) 358-9292

Other names 1

  • Evolve Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190327002802 OR Part B Supplier - Clinic/Group Practice 7214277383 Receives reassigned benefits from 13 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaverton, OR; Bend, OR; Portland, OR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northwest IV LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2235 NW Shevlin Park Rd
Ste 100
Bend, OR 97703
Phone (541) 410-6935

2255 NW Shevlin Park Rd
Ste 110
Bend, OR 97703
Phone (541) 728-2525

6400 SE Lake Rd
Ste 135
Portland, OR 97222
Phone (888) 830-6088

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1811600471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222137",
            "telephone_number": "971-358-9292",
            "fax_number": "503-917-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 NW CORNELL RD STE 190",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970068104",
            "telephone_number": "714-055-9609",
            "fax_number": "971-405-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "503-447-3285"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Isolved",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16100 NW Cornell Rd Ste 190",
            "city": "Beaverton",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970068104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Evolve Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evolve Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.