Active NPI
Brian Gregory Marshall, FNP-C
- Family Nurse Practitioner
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10009432
- Practice address
- 19250 SW 90TH Ave
Tualatin, OR 97062-7585 - Phone
- (503) 692-3750
- Fax
- (503) 691-2324
- NPI assigned
- Jun 8, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10009432 | OR | Primary |
Addresses
Primary practice location
19250 SW 90TH Ave
Tualatin, OR 97062-7585
Mailing address
847 NE 19TH Ave Ste 300
Portland, OR 97232-2686
Phone (503) 963-2801
Other practice location 1
1508 Division St Ste 15
Oregon City, OR 97045-1583
Phone (503) 692-3750
Other practice location 2
879 N Providence Dr
Newberg, OR 97132-7563
Phone (503) 692-3750
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | referringgso@orclinic.direct-ci.net | The Oregon Clinic PC |
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
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
19250 SW 65TH Ave
Suite 235
Tualatin, OR 97062-7745
Phone (503) 692-4820
Hospital & facility affiliations
- Providence Willamette Falls Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oregon Clinic PC | Current | Accepting new patients | |
| The Oregon Clinic, PC | Current | Accepting new patients | |
| Oregon Clinic PC | Current | Accepting new patients |
Locations
879 N Providence Dr
Newberg, OR 97132
Phone (503) 297-3778
1508 Division St
Ste 15
Oregon City, OR 97045
Phone (503) 657-5555
847 NE 19th Ave
Ste 300
Portland, OR 97232
5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673
500 N Highway
Saint Helens, OR 97051
Phone (503) 229-7554
19250 SW 90th Ave
Tualatin, OR 97062
Phone (503) 692-3750
19250 SW 65th Ave
Ste 235
Tualatin, OR 97062
Phone (503) 692-1470
Interoperability endpoints
- bmarshall301994@oc.providencedirect.org
Organizations & group practices 3
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.
-
- Specialist
- Portland, OR
- NPI 1265417174
-
- Specialist
- Newberg, OR
- NPI 1417112616
-
- Durable Medical Equipment & Medical Supplies
- Portland, OR
- NPI 1346105129
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1861186090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "847 NE 19TH AVE STE 300",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322686",
"telephone_number": "503-963-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19250 SW 90TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627585",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324"
}
],
"practiceLocations": [
{
"address_1": "1508 Division St Ste 15",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970451583",
"country_code": "US",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "879 N Providence Dr",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971327563",
"country_code": "US",
"telephone_number": "503-692-3750",
"fax_number": "503-691-2324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "BRIAN",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-08",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10009432",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "referringgso@orclinic.direct-ci.net",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "879 N Providence Dr",
"city": "Newberg",
"state": "OR",
"country_code": "US",
"postal_code": "971327563",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.