Individual provider Active NPI

Miriam Nehama Jagle, NMNP-PP; CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Portland, OR
National Provider Identifier
1861771230
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
201150106NP Issued in OR
Practice address
2800 N Vancouver Ave Ste 255
Portland, OR 97227-1671
Phone
(503) 413-4500
Fax
(503) 413-5222
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 201150106NP OR Primary

Addresses

Primary practice location

2800 N Vancouver Ave Ste 255
Portland, OR 97227-1671

Mailing address

847 NE 19TH Ave Ste 300
Portland, OR 97232-2686
Phone (503) 963-2801

Other identifiers 2

IdentifierTypeStateIssuer
1861771230MedicaidWA
500642369MedicaidOR

Other names 1

  • Miriam Rosenberg Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000056 OR Practitioner - Certified Nurse Midwife (CNM) 4981877867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Mar 26, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 27, 2015 Accepting new patients
Silverton Health CurrentSince Mar 26, 2020 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 27, 2015 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Emanuel Hospital & Health Center Past Accepting new patients

Locations

2800 N Vancouver Ave
Ste 255
Portland, OR 97227
Phone (503) 413-4500

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 120
Portland, OR 97210
Phone (503) 229-7353

475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Interoperability endpoints

  • Direct secure messaging: mrosenberg106994@direct.lhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1861771230",
    "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",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N VANCOUVER AVE STE 255",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271671",
            "telephone_number": "503-413-4500",
            "fax_number": "503-413-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGLE",
        "first_name": "MIRIAM",
        "middle_name": "NEHAMA",
        "credential": "NMNP-PP; CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OR",
            "license": "201150106NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861771230",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500642369",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "ROSENBERG",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.