Active NPI
Arthur Jeffery Nelson, PA-C
- Physician Assistant
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA201757
- Practice address
- 17550 Provost St Ste 201
Lake Oswego, OR 97034-5199 - Phone
- (503) 872-2440
- Fax
- (503) 513-3355
- NPI assigned
- Jun 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA201757 | OR | Primary |
Addresses
Primary practice location
17550 Provost St Ste 201
Lake Oswego, OR 97034-5199
Mailing address
17550 Provost St Ste 201
Lake Oswego, OR 97034-5199
Phone (503) 872-2440
Other practice location 1
2280 Marcola Rd
Springfield, OR 97477-2594
Phone (541) 747-4300
Other practice location 2
1255 NE Grant St Unit C
Hillsboro, OR 97124-3479
Phone (503) 927-7393
Other practice location 3
1800 Centennial Blvd
Springfield, OR 97477-4379
Phone (541) 747-4300
Other practice location 4
2850 SE Powell Valley Rd Ste 100
Gresham, OR 97080-1495
Phone (503) 666-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500787098 | Medicaid | OR |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480
Hospital & facility affiliations
- Providence Willamette Falls Medical Center
- Providence St Vincent Medical Center
- Providence Portland Medical Center
- Providence Milwaukie Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Urgent Care NW Gresham PC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients | |
| Nerve and Pain Institute LLC | Past | Accepting new patients |
Locations
2850 SE Powell Valley Rd
Ste 100
Gresham, OR 97080
Phone (503) 666-5050
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Tigard, OR
- NPI 1164047486
-
- Internal Medicine Physician
- Portland, OR
- NPI 1447371117
-
- Urgent Care Clinic/Center
- Gresham, OR
- NPI 1336128321
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682380800000",
"number": "1831716646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17550 PROVOST ST STE 201",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970345199",
"telephone_number": "503-872-2440",
"fax_number": "503-513-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17550 PROVOST ST STE 201",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970345199",
"telephone_number": "503-872-2440",
"fax_number": "503-513-3355"
}
],
"practiceLocations": [
{
"address_1": "2280 Marcola Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974772594",
"country_code": "US",
"telephone_number": "541-747-4300",
"fax_number": "541-747-0655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 NE Grant St Unit C",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971243479",
"country_code": "US",
"telephone_number": "503-927-7393",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Centennial Blvd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974774379",
"country_code": "US",
"telephone_number": "541-747-4300",
"fax_number": "541-747-0655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2850 SE Powell Valley Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Gresham",
"state": "OR",
"postal_code": "970801495",
"country_code": "US",
"telephone_number": "503-666-5050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "ARTHUR",
"middle_name": "JEFFERY",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-26",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA201757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500787098",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.