Individual provider Active NPI

Jessie Kha Trieu, M.D.

  • Internal Medicine Physician
  • Tualatin, OR
National Provider Identifier
1891049128
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD190504 Issued in OR
Practice address
19875 SW 65TH Ave Ste 100
Tualatin, OR 97062-8353
Phone
(503) 692-7785
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A123561 CA
Internal Medicine Physician 207R00000X MD190504 OR Primary

Addresses

Primary practice location

19875 SW 65TH Ave Ste 100
Tualatin, OR 97062-8353

Mailing address

PO Box 6689
Portland, OR 97228-6689
Phone (503) 413-3900

Other practice location 1

2020 8th Ave Ste 100
West Linn, OR 97068
Phone (503) 655-3320

Other practice location 2

100 W. California Blvd
Continuing Medical Education
Pasadena, CA 91105
Phone (626) 397-5188

Other practice location 3

100 W. California Blvd
Continuing Medical Education
Pasadena, CA 91105
Phone (626) 397-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150121000117 CA Practitioner - Internal Medicine 7911221023 Reassigns benefits to 2 organizations
I20190404002288 OR Practitioner - Internal Medicine 7911221023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians

Practice addresses (Care Compare)

2020 8TH Ave
Suite 100
West Linn, OR 97068-4657
Phone (503) 655-3320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A123561CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Feb 25, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 3, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Nov 3, 2014 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Feb 25, 2019 Accepting new patients
The Huntington Medical Foundation Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Legacy Meridian Park Pediatric Rehab Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

375 Huntington Dr
Ste G
San Marino, CA 91108
Phone (626) 441-4231

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

19875 SW 65th Ave
Ste 100
Tualatin, OR 97062
Phone (503) 692-7785

2020 8th Ave
Ste 100
West Linn, OR 97068
Phone (503) 353-1278

Interoperability endpoints

  • Direct secure messaging: jtrieu308337@direct.lhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1891049128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6689",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972286689",
            "telephone_number": "503-413-3900",
            "fax_number": "503-413-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 SW 65TH AVE STE 100",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628353",
            "telephone_number": "503-692-7785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 8th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "97068",
            "country_code": "US",
            "telephone_number": "503-655-3320",
            "fax_number": "503-655-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W. California Blvd",
            "address_2": "Continuing Medical Education",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91105",
            "country_code": "US",
            "telephone_number": "626-397-5188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W. California Blvd",
            "address_2": "Continuing Medical Education",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "91105",
            "country_code": "US",
            "telephone_number": "626-397-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "JESSIE",
        "middle_name": "KHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123561",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD190504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

Verify at the official NPI Registry.