Active NPI
Fernanda V Huang, M.D.
- Family Medicine Physician
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD174932
- Practice address
- 16463 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-4374 - Phone
- (503) 635-1350
- Fax
- (503) 635-8470
- NPI assigned
- Jun 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116025151 | VA | |
| Family Medicine Physician | 207Q00000X | MD174932 | OR | Primary |
Addresses
Primary practice location
16463 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-4374
Mailing address
16463 Boones Ferry Rd Ste 100
Lake Oswego, OR 97035-4374
Phone (503) 635-1350
Other practice location 1
13540 Hull Street Rd
St. Francis Family Medicine
Midlothian, VA 23112-2107
Phone (804) 739-6142
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD174932 | OR | MD | Family Medicine Physician |
| 0116025151 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Lake Grove Family Medical Clinic LLC | Past | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
19500 SE Stark St
Portland, OR 97233
Phone (503) 669-3900
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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
- Portland, OR
- NPI 1184786527
Family Medicine
-
- General Practice Physician
- Portland, OR
- NPI 1306192455
Family Medicine
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- Primary Care Clinic/Center
- Lake Oswego, OR
- NPI 1366982258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1861756470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16463 BOONES FERRY RD STE 100",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354374",
"telephone_number": "503-635-1350",
"fax_number": "503-635-8470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16463 BOONES FERRY RD STE 100",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970354374",
"telephone_number": "503-635-1350",
"fax_number": "503-635-8470"
}
],
"practiceLocations": [
{
"address_1": "13540 Hull Street Rd",
"address_2": "St. Francis Family Medicine",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231122107",
"country_code": "US",
"telephone_number": "804-739-6142",
"fax_number": "804-739-8923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUANG",
"first_name": "FERNANDA",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116025151",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD174932",
"primary": true
}
],
"identifiers": [],
"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 Feb 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.