Active NPI
Colin Storz, PA-C
- Medical Physician Assistant
- Portland, OR
National Provider Identifier
1871982975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 165805
- Practice address
- 3623 N Borthwick Ave
Portland, OR 97227-1218 - Phone
- (503) 846-6352
- NPI assigned
- Jan 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 165805 | OR | Primary |
Addresses
Primary practice location
3623 N Borthwick Ave
Portland, OR 97227-1218
Mailing address
3623 N Borthwick Ave
Portland, OR 97227-1218
Phone (503) 846-6352
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10221 SE Sunnyside Rd
Clackamas, OR 97015-9782
Phone (864) 664-3984
2400 E Burnside St
Portland, OR 97214-1752
Phone (864) 664-3984
606 NE Broadway St
Portland, OR 97232-1212
Phone (864) 664-3984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165805 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zoomcare PC | Past | Accepting new patients | |
| Recovery Works NW LLC | Past | Accepting new patients | |
| Zoomcare Urgent Care LLC | Past | Accepting new patients |
Interoperability endpoints
- colin.storz.1@30646.direct.athenahealth.com
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/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
- Tigard, OR
- NPI 1023582178
-
- Multi-Specialty Clinic/Center
- Portland, OR
- NPI 1871264416
-
- Internal Medicine Physician
- Portland, OR
- NPI 1689647372
-
- Urgent Care Clinic/Center
- Lake Oswego, OR
- NPI 1376225813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1871982975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3623 N BORTHWICK AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271218",
"telephone_number": "503-846-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 N BORTHWICK AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271218",
"telephone_number": "503-846-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORZ",
"first_name": "COLIN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "165805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.