Individual provider Active NPI

Katherine Elaine Bischof, PA-C

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1831165737
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01381 Issued in OR
Practice address
3181 SW Sam Jackson Park Rd
Uh-62
Portland, OR 97239-3011
Phone
(503) 494-7400
Fax
(503) 494-4749
NPI assigned
Feb 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 17306 CA
Medical Physician Assistant 363AM0700X PA01381 OR Primary

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Uh-62
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Uh-62
Portland, OR 97239-3011
Phone (503) 494-7400

Other practice location 1

310 9th St
Florence, OR 97439-9470
Phone (541) 484-4332

Other practice location 2

3311 Riverbend Dr Ste 300
Springfield, OR 97477-8800
Phone (541) 222-3531

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
I20081008000189 OR Practitioner - Physician Assistant 1153348792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 8527016039, 200 clinicians

Practice addresses (Care Compare)

2801 NW Mercy Dr
Suite 350
Roseburg, OR 97471-2349
Phone (541) 222-2700

310 9TH St
Florence, OR 97439-9470
Phone (541) 484-4332

Hospital & facility affiliations

  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102
  • Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090
  • Lower Umpqua Hospital District Hospital, Reedsport, OR, CCN 381311
  • Southern Coos Hospital & Health Center Hospital, Bandon, OR, CCN 381304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17306CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Sep 27, 2021 Accepting new patients
Mediquick Urgent Care Centers Inc Past Accepting new patients
Renown Urgent Care LLC Past Accepting new patients
Peacehealth Medical Group Past Accepting new patients

Locations

400 9th St
Florence, OR 97439
Phone (541) 997-8412

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: kbischof533516@direct.peacehealth.org

Organizations & group practices 5

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 6

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": "1634256000000",
    "number": "1831165737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "UH-62",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7400",
            "fax_number": "503-494-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "UH-62",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7400",
            "fax_number": "503-494-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974399470",
            "country_code": "US",
            "telephone_number": "541-484-4332",
            "fax_number": "541-242-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3311 Riverbend Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-3531",
            "fax_number": "541-222-2843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISCHOF",
        "first_name": "KATHERINE",
        "middle_name": "ELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "17306",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA01381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.