Individual provider Active NPI

Grace Noel Kochman, PA-C, DMSC

  • Medical Physician Assistant
  • Forest Grove, OR
National Provider Identifier
1821831868
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA227816 Issued in OR
Practice address
1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone
(503) 359-4773
Fax
(833) 598-2049
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA227816 OR Primary

Addresses

Primary practice location

1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894

Mailing address

1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251226002141 OR Practitioner - Physician Assistant 0345736526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2221

363 NW Gina Way Apt
Suite 204
Beaverton, OR 97006-4480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA227816ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J Gray DO LLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116
Phone (503) 359-4773

4660 NE Belknap Ct
Ste 119
Hillsboro, OR 97124
Phone (503) 359-3809

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 12

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1821831868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "503-359-4773",
            "fax_number": "833-598-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "503-359-4773",
            "fax_number": "833-598-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHMAN",
        "first_name": "GRACE",
        "middle_name": "NOEL",
        "name_prefix": "Ms.",
        "credential": "PA-C, DMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA227816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.