Individual provider Active NPI

Wendy Noreen, ANP

  • Adult Health Nurse Practitioner
  • Beaverton, OR
National Provider Identifier
1811968985
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
091000506N3 Issued in OR
Practice address
17175 SW Tualatin Valley Hwy
Suite B-2
Beaverton, OR 97006-4584
Phone
(503) 848-5861
Fax
(503) 848-5863
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 091000506N3 OR Primary

Addresses

Primary practice location

17175 SW Tualatin Valley Hwy
Suite B-2
Beaverton, OR 97006-4584

Mailing address

315 SW 5TH Ave
Suite 900
Portland, OR 97204-1753
Phone (503) 416-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
091000506N3ORMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Careoregon Community Health, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1811968985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SW 5TH AVE",
            "address_2": "SUITE 900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041753",
            "telephone_number": "503-416-4100",
            "fax_number": "503-416-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17175 SW TUALATIN VALLEY HWY",
            "address_2": "SUITE B-2",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064584",
            "telephone_number": "503-848-5861",
            "fax_number": "503-848-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOREEN",
        "first_name": "WENDY",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "091000506N3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.