Individual provider Active NPI

Terry Joan Wrobel, DO

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1831377175
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO157543 Issued in OR
Practice address
265 SE Oak St
Hillsboro, OR 97123-4392
Phone
(503) 215-2300
NPI assigned
Feb 8, 2008
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5636 CA
Family Medicine Physician 207Q00000X DO157543 OR Primary

Addresses

Primary practice location

265 SE Oak St
Hillsboro, OR 97123-4392

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494

Other practice location 1

18610 NW Cornell Rd
Suite 101
Hillsboro, OR 97124-9206
Phone (503) 216-9360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twrobel233400@oc.providencedirect.org

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5636CAMDAddiction (Substance Use Disorder) Counselor
20A5636CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon PastSince Jan 4, 2015 Accepting new patients
Providence Health & Services - Oregon Family Medicine PastSince Feb 21, 2021 Accepting new patients
County of Clackamas Office of County Auditor Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: twrobel233400@oc.providencedirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1831377175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 SE OAK ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234392",
            "telephone_number": "503-215-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18610 NW CORNELL RD",
            "address_2": "SUITE 101",
            "address_purpose": "LOCATION",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971249206",
            "country_code": "US",
            "telephone_number": "503-216-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WROBEL",
        "first_name": "TERRY",
        "middle_name": "JOAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5636",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO157543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twrobel233400@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "265 SE Oak St",
            "city": "Hillsboro",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971234392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.