Lauren M Alderson, M.D.
Individual provider Active NPI Family Medicine Physician · Gresham, OR
NPI 1871933796 · NPPES record last updated Feb 1, 2022
Key facts
- NPI
- 1871933796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD195019 (OR)
- Practice address
- 2850 SE Powell Valley Rd
Gresham, OR 97080-1494 - Phone
- (503) 666-5050
- Fax
- (503) 666-1162
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210115000717 | WA | Practitioner - Family Practice | 4183927528 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28039 | NE | MD | Family Medicine Physician |
| MD61059756 | WA | 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 | Family Medicine | Current | Accepting new patients |
Locations
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
12607 SE Mill Plain Blvd
Vancouver, WA 98684
Phone (360) 418-6001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61059756 | WA | |
| Family Medicine Physician | 207Q00000X | 28039 | NE | |
| Family Medicine Physician | 207Q00000X | MD195019 | OR | Yes |
Addresses
Primary practice location
2850 SE Powell Valley Rd
Gresham, OR 97080-1494
Mailing address
PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900
Other practice location 1
554 Keily Street, Bureau of Medicine and Surgery
Attention: Centralized Credentialing & Privileging Dir
Jacksonville, FL 32212
Phone (760) 725-8882
Other practice location 2
3475 N Saratoga St
Oak Harbor, WA 98278-4927
Phone (360) 257-9501
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | Northwest Permanente PC |
Other providers in Gresham, OR
- Eric Ikaika Aki
- Talia Marie Thelen Akre
- Nichole N Albelo
- Jeffreys D Albright
- Emily Alderaen
- Dmitri Vladislavovich Aleksandrov
- Deborah A Alexander
- Jarod Christopher Alford
- George Alkhouri
- Lujein Solaiman Alkreidi
All providers in Gresham, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.